| Timothy F. Malone, Do, Pa | |
|
9603 White Rock Trl #110 Dallas TX 75238-5012 | |
| (214) 341-8770 | |
| Not Available |
| Full Name | Timothy F. Malone, Do, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9603 White Rock Trl, Dallas, Texas |
| Authorized Official Name and Position | Timothy Frank Malone (OWNER) |
| Authorized Official Contact | 2143418770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy F. Malone, Do, Pa 9603 White Rock Trl #110 Dallas TX 75238-5012 Ph: (214) 341-8770 | Timothy F. Malone, Do, Pa 9603 White Rock Trl #110 Dallas TX 75238-5012 Ph: (214) 341-8770 |
| NPI Number | 1720233430 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/21/2008 |
| Medicare PECOS PAC ID | 2567523483 |
|---|---|
| Medicare Enrollment ID | O20081210000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720233430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K1540 (Texas) | Primary |
| Provider Name | Timothy F Malone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649205873 PECOS PAC ID: 7517982978 Enrollment ID: I20051014000082 |
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