Individual
MARK THOMAS MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 SOUTH MAYS STREET, SUITE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 244-2895
Mailing address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 244-2895
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G3580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1282766-06
—
TX
01
—
8V8051
BCBS PROVIDER NUMBER
TX
Enumeration date
07/17/2006
Last updated
01/13/2021
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