Individual provider · Type 1 NPI

Amy J. Malone, PA-C

Surgical Physician Assistant · Longview, TX

NPI number 1063412468 Active

Practice location

1300 N 4th St
Longview, TX 75601-4717

Call (903) 757-6042 Map

Fax (903) 758-1801

Mailing address

PO Box 911230
Dallas, TX 75390-1230

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA0124 (TX)
Surgical Physician Assistant Primary 363AS0400XPA01024 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1063412468

Amy J. Malone, PA-C's National Provider Identifier is 1063412468, issued on Jul 28, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Longview, TX. The record was last updated on Jul 28, 2021.