Provider Demographics
NPI:1144674557
Name:TEXAS MALONE HEALTHCARE, LLC
Entity type:Organization
Organization Name:TEXAS MALONE HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IJEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONWUZURIKE
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:469-348-5312
Mailing Address - Street 1:1500 HIGH COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-1840
Mailing Address - Country:US
Mailing Address - Phone:469-348-5312
Mailing Address - Fax:972-727-0733
Practice Address - Street 1:9550 FOREST LN STE 232
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5905
Practice Address - Country:US
Practice Address - Phone:469-348-5312
Practice Address - Fax:469-640-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193400000XOtherNPPES