Luke Malone
Student in an Organized Health Care Education/Training Program in Frisco, TX. Individual provider (NPI-1).
NPI number1841828126
StatusActive
Last updated in NPPESSep 11, 2023
Details
- NPI
- 1841828126
- Entity type
- Individual (NPI-1)
- Name
- Luke Malone
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Sep 11, 2023
- Last updated
- Sep 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
11212 New Orleans DrFrisco, TX 75035-8313
Phone 469-919-3033
Mailing address
11212 New Orleans DrFrisco, TX 75035-8313
Phone 469-919-3033
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