Mark Thomas Malone, MD | |
2000 South Mays Street, Suite 201, Round Rock, TX 78664-7580 | |
(512) 244-4272 | |
(512) 244-2895 |
Full Name | Mark Thomas Malone |
---|---|
Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 2000 South Mays Street, Round Rock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659399871 | NPI | - | NPPES |
1282766-06 | Medicaid | TX | |
8V8051 | Other | TX | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | G3580 (Texas) | Primary |
Entity Name | Mark Malone Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407057250 PECOS PAC ID: 2567369424 Enrollment ID: O20031217001064 |
Mailing Address | Practice Location Address |
---|---|
Mark Thomas Malone, MD 2000 S Mays St Ste 201, Round Rock, TX 78664-7580 Ph: (512) 244-4272 | Mark Thomas Malone, MD 2000 South Mays Street, Suite 201, Round Rock, TX 78664-7580 Ph: (512) 244-4272 |
Dr. Graves T Owen, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 7200 Wyoming Spgs, Ste 400, Round Rock, TX 78681 Phone: 512-310-7246 Fax: 512-310-7667 | |
Ryan Michaud, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 S Mays St, Suite 201, Round Rock, TX 78664 Phone: 512-244-4272 Fax: 512-244-2895 |