=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225614936
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARK MALONE MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2021
-----------------------------------------------------
Last Update Date | 10/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 135 BUNTON CREEK RD STE 302
-----------------------------------------------------
City | KYLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78640-5701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-244-4272
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 101 W LOUIS HENNA BLVD STE 300
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78728-1203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-244-4272
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF ADMINISTRATIVE OFFICER
-----------------------------------------------------
Name | CHRISTINA ROBIN SONS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 512-244-4272
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207LP2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Anesthesiology) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------