Gary L Malone MD PA

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

F4238 Issued in TX

Legal business name

GARY L MALONE MD PA

Practice address

1450 Hughes Rd
Suite 108
Grapevine, TX 76051-7359

Phone

(817) 481-2767

Fax

(817) 251-9544

NPI assigned

Jan 23, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Malone

Title

Office Manager

Phone

(817) 481-2767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary L. Malone, M.D.

  • Psychiatry Physician
  • Grapevine, TX
  • NPI 1992741193
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1780955708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 HUGHES RD",
            "address_2": "SUITE 108",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517359",
            "telephone_number": "817-481-2767",
            "fax_number": "817-251-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 HUGHES RD",
            "address_2": "SUITE 108",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517359",
            "telephone_number": "817-481-2767",
            "fax_number": "817-251-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L MALONE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-481-2767"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "F4238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Psychiatry Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Addiction Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.