Provider Demographics
NPI:1194018176
Name:DANIEL W MALASKO, MD, PA
Entity Type:Organization
Organization Name:DANIEL W MALASKO, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MALASKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-542-3472
Mailing Address - Street 1:2600 N CORIA ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8459
Mailing Address - Country:US
Mailing Address - Phone:956-542-3475
Mailing Address - Fax:956-546-3112
Practice Address - Street 1:2600 N CORIA ST
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8459
Practice Address - Country:US
Practice Address - Phone:956-542-3475
Practice Address - Fax:956-546-3112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6282207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty