person
Mr. Larry D Malone, FNP
Family Nurse Practitioner in Nacogdoches, Texas
NPI 1447244132

Larry D Malone is a Family Nurse Practitioner based in Nacogdoches, TX and is specialized in Family. Larry D Malone practices in Nacogdoches, TX and has the professional credentials of FNP. The NPI Number for Larry D Malone is 1447244132 and holds a License No. 601491 (Texas).

The current practice location address for Larry D Malone is 320 Russell Blvd, Nacogdoches, TX and can be reached out via phone at 936-569-6411 and via fax at 936-569-6446.

Location: 320 Russell Blvd, Nacogdoches, TX, 75965-1240
person
Provider Profile Details
NPI Number
1447244132
Provider Name
Larry D Malone
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
320 Russell Blvd, Nacogdoches, TX, 75965-1240
Phone Number
936-569-6411
Fax Number
936-569-6446
Provider Enumeration Date
09/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8N3041 01 TX BCBS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
320 Russell Blvd
City
State
Zip
75965-1240
Phone Number
936-569-6411
Fax Number
936-569-6446
person
Provider Business Mailing Address Details
Address
320 Russell Blvd
City
State
Zip
75965-1240
Phone Number
936-569-6411
Fax Number
936-569-6446
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
601491 (Texas)
Definition
Definition to come...
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