Organization
MYNURSEPRACTITIONER
Active
Other names
mynp.clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY D MALONE FNP (NURSE PRACTITIONER/OWNER)
(206) 659-7193
Entity
Organization
Contact information
Practice address
539 W COMMERCE ST # 881, DALLAS, TX 75208-1953
(206) 659-7193
(949) 655-7898
Mailing address
539 W COMMERCE ST # 881, DALLAS, TX 75208-1953
(206) 659-7193
(949) 655-7898
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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