Healthcare Provider Details

I. General information

NPI: 1497830434
Provider Name (Legal Business Name): DANNY PAUL MALONE OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 05/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 COIT RD SUITE 560
PLANO TX
75075-3797
US

IV. Provider business mailing address

4160 W SPRING CREEK PKWY STE 100
PLANO TX
75024-5317
US

V. Phone/Fax

Practice location:
  • Phone: 972-612-2099
  • Fax: 972-599-2261
Mailing address:
  • Phone: 972-612-2099
  • Fax: 972-599-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number3715TG
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: