Diana T Malone in San Antonio - Orthodontics And Dentofacial Orthopedics
Diana T Malone - NPI 1629275441
Diana T Malone is a Orthodontics And Dentofacial Orthopedics in San Antonio, Texas. Diana T Malone practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Diana T Malone is 1629275441. The last update date is 2007-07-08.
Diana T Malone's current location address is 4939 De Zavala Rd, San Antonio, Texas. You can contact this provider via phone number 2106963001. The mailing address for Diana T Malone is 4939 De Zavala Rd, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Diana T Malone |
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Address | 4939 De Zavala Rd, San Antonio, Texas |
Phone Number | 2106963001 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS.MS |
NPI Number Detail
NPI Number | 1629275441 |
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Provider Enumeration Date | 2007-06-27 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4939 De Zavala Rd |
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City | San Antonio |
State | Texas (TX) |
Post Code | 782492046 |
Phone Number | 2106963001 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 20402 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1312131 | TX | INS | |
14940 | TX | INS |
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What is the unique identifier code issued to Diana T Malone by the Centers for Medicare & Medicaid Services (CMS)?
The Diana T Malone has been assigned the NPI (National Provider Identifier) 1629275441. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Diana T Malone?
The Diana T Malone is situated at 4939 De Zavala Rd, in the city of San Antonio, state of TX, with the zip code 782492046.
What is the Diana T Malone's specialty and taxonomy code?
The Diana T Malone's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
When did the Diana T Malone receive its 1629275441?
The Diana T Malone was issued its 1629275441 on 2007-06-27, which is the date when the organization was assigned this unique identifier.
When was the Diana T Malone's information last updated?
The Diana T Malone's information was last updated on 2007-07-08.
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