Individual
CHARLES BRUCE MALONE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 E 32ND ST, STE 101, AUSTIN, TX 78705-2700
(512) 477-6341
(512) 477-1148
Mailing address
1015 E 32ND ST, STE 101, AUSTIN, TX 78705-2700
(512) 477-6341
(512) 477-1148
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E7660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126497002
—
TX
Enumeration date
06/16/2005
Last updated
09/08/2014
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