Malone, Amy J

Malone, Amy J is an individual health care provider with primary practice located at 1300 N 4Th St , Longview TX 75601-4717. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Malone, Amy J can be contacted via phone (903) 757-6042.

Contact Information

Primary practice address
1300 N 4Th St Longview TX 75601-4717
Phone: (903) 757-6042
Fax: (903) 758-1801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0124 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA01024 Texas

Profile Details

NPI number 1063412468
LBN Legal business name Malone, Amy J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063412468 NPPES
Texas MEDICAID 204712803
Texas MEDICAID 361638502
Texas MEDICAID 204712805

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