Provider Demographics
NPI:1447764865
Name:MALONE, DEBORAH JEANETTE
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:JEANETTE
Last Name:MALONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 HARVEST HILL LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1385
Mailing Address - Country:US
Mailing Address - Phone:972-781-8219
Mailing Address - Fax:
Practice Address - Street 1:1121 HARVEST HILL LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1385
Practice Address - Country:US
Practice Address - Phone:972-781-8219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)