MEDICARE: MARK MALONE MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1417517046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK MALONE MD PA

Provider Business Mailing Address
First Line	:	101 W LOUIS HENNA BLVD STE 300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78728-1203
Country	:	US
Telephone Number	:	512-244-4272
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 COLLEGE ST STE C
Second Line	:
City	:	BASTROP
State	:	TX
Zip	:	78602-3948
Country	:	US
Telephone Number	:	512-244-4272
Fax Number	:	512-244-2895

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	KATINA LEA KNOWLES
Credential	:
Telephone Number	:	512-244-4272

Provider Enumeration Date	:	06/17/2019
Last Update Date	:	04/17/2026

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Directions to “MARK MALONE MD PA ” Practice Location

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