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Macie Malcom
NPI 1861113227 · on the registry since 2022 · sole proprietor
Practice
- Address
- 750 Justin Rd
Rockwall, TX 75087 - Phone
- (469) 458-9021
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-02
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