Individual
DIANA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
323 E HAWKINS PKWY, LONGVIEW, TX 75605-7905
(903) 544-6780
(903) 544-6799
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 544-6780
(903) 544-6799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
138925
AK
207Q00000X
Family Medicine Physician
C159199
CA
207Q00000X
Family Medicine Physician
Primary
L5820
TX
207Q00000X
Family Medicine Physician
MD-20032
HI
207Q00000X
Family Medicine Physician
MD190704
OR
207Q00000X
Family Medicine Physician
MD2018-0897
NM
Other
Enumeration date
06/13/2006
Last updated
08/22/2019
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