Provider Demographics
NPI:1366481475
Name:DURANT HMA INC
Entity Type:Organization
Organization Name:DURANT HMA INC
Other - Org Name:DONALD W. MALONE MD ORTHOPEDIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-924-3080
Mailing Address - Street 1:1400 BRYAN DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-2156
Mailing Address - Country:US
Mailing Address - Phone:580-920-8062
Mailing Address - Fax:580-920-8079
Practice Address - Street 1:1400 BRYAN DR
Practice Address - Street 2:SUITE 306
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-2156
Practice Address - Country:US
Practice Address - Phone:580-920-8062
Practice Address - Fax:580-920-8079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty