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Individual

MALCOLM O PERRY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
950 W BETHANY DR STE 360, ALLEN, TX 75013-3837
(469) 854-6116
Mailing address
950 W BETHANY DR STE 360, ALLEN, TX 75013-3837
(469) 854-6116

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J1476
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
035007601
TX
Enumeration date
08/17/2006
Last updated
11/22/2023
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