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Individual

DR. GARY L. MALONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1450 HUGHES ROAD, SUITE 108, GRAPEVINE, TX 76051-7356
(817) 481-2767
(817) 251-9544
Mailing address
1450 HUGHES ROAD, SUITE 108, GRAPEVINE, TX 76051-7356
(817) 481-2767
(817) 251-9544

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F4238
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0334534
TX
Enumeration date
06/22/2006
Last updated
11/12/2020
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