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Malcolm Quattlebaum
NPI 1255456661 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3090 Fm 317
Athens, TX 75752 - Phone
- (903) 675-5900
- Fax
- (903) 675-5900
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas