Organization
GARY L MALONE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MALONE (OFFICE MANAGER)
(817) 481-2767
Entity
Organization
Contact information
Practice address
1450 HUGHES RD, SUITE 108, GRAPEVINE, TX 76051-7359
(817) 481-2767
(817) 251-9544
Mailing address
1450 HUGHES RD, SUITE 108, GRAPEVINE, TX 76051-7359
(817) 481-2767
(817) 251-9544
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
F4238
TX
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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