Mr Larry D Malone, FNP | |
320 Russell Blvd, Nacogdoches, TX 75965-1240 | |
(936) 569-6411 | |
(936) 569-6446 |
Full Name | Mr Larry D Malone |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 320 Russell Blvd, Nacogdoches, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447244132 | NPI | - | NPPES |
8N3041 | Other | TX | BCBS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 601491 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nacogdoches Medical Center | Nacogdoches, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stone Fort Inpatient Services Pllc | 2567743511 | 21 |
Texas Em-i Medical Services, Pa | 6507760543 | 27 |
In And Out Clinic Pa | 9032334131 | 4 |
Entity Name | Texas Em-i Medical Services, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457428849 PECOS PAC ID: 6507760543 Enrollment ID: O20031201000296 |
Entity Name | In & Out Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023430873 PECOS PAC ID: 9032334131 Enrollment ID: O20140703000991 |
Entity Name | Stone Fort Inpatient Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316481492 PECOS PAC ID: 2567743511 Enrollment ID: O20170105000860 |
Mailing Address | Practice Location Address |
---|---|
Mr Larry D Malone, FNP 320 Russell Blvd, Nacogdoches, TX 75965-1240 Ph: (936) 569-6411 | Mr Larry D Malone, FNP 320 Russell Blvd, Nacogdoches, TX 75965-1240 Ph: (936) 569-6411 |
Kristin Nicole Robinson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 South St, Nacogdoches, TX 75964 Phone: 936-564-8611 Fax: 936-462-8489 | |
Mrs. Kace L Calan, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3618 N University Dr, Nacogdoches, TX 75965 Phone: 936-205-9922 Fax: 936-205-9923 | |
Mr. Carl Austin Willeford Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 N Mound St Ste 203, Nacogdoches, TX 75961 Phone: 936-569-4150 Fax: 936-569-4155 | |
Jena Lyn Rhodes, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2702 N University Dr, Nacogdoches, TX 75965 Phone: 936-585-4130 Fax: 936-585-4134 | |
Tiffany Batten, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-568-3143 | |
Mr. James Lucas Wagoner, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1023 N Mound St Ste E, Nacogdoches, TX 75961 Phone: 936-305-4130 Fax: 936-305-4127 | |
Carla Ann Hairston, RN,FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 N Mound St, Nacogdoches, TX 75961 Phone: 936-560-3800 Fax: 936-560-0102 |