Provider Demographics
NPI:1689677940
Name:MAALE, GERHARD EMIL III (MD)
Entity Type:Individual
Prefix:DR
First Name:GERHARD
Middle Name:EMIL
Last Name:MAALE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 ALLIANCE BLVD
Mailing Address - Street 2:STE 710
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5340
Mailing Address - Country:US
Mailing Address - Phone:214-691-9777
Mailing Address - Fax:214-691-1123
Practice Address - Street 1:4708 ALLIANCE BLVD
Practice Address - Street 2:STE 710
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5340
Practice Address - Country:US
Practice Address - Phone:214-691-9777
Practice Address - Fax:214-691-1123
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2023-05-25
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-06-13
Provider Licenses
StateLicense IDTaxonomies
TXG7551207X00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200042676OtherRAILROAD MEDICARE
TX1482887-01Medicaid
TXJ4423OtherRAILROAD MEDICARE GROUP
TX5667OtherPARKLAND HEALTH FIRST
TX1348955-10OtherCHILDREN WITH SPECIAL HEA
TX57753OtherAMERIGROUP
TX8F2478OtherBCBS OF TEXAS
TX200042676OtherRAILROAD MEDICARE
TX8F2478OtherBCBS OF TEXAS