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Carl Malone

NPI 1417047515 · on the registry since 2006 · sole proprietor

Practice

Address
4540 Sherwood Way
Suite 104a
San Angelo, TX 76901
Phone
(325) 947-1505
Organisation at this address
Eyemart Express Llc
Eyemart Express Ltd
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-08

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