Provider Demographics
NPI:1396912127
Name:DANNY P MALONE ASSOCIATES LTD
Entity type:Organization
Organization Name:DANNY P MALONE ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:P
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-612-2099
Mailing Address - Street 1:4160 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5316
Mailing Address - Country:US
Mailing Address - Phone:972-612-2099
Mailing Address - Fax:972-599-2261
Practice Address - Street 1:4160 W SPRING CREEK PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5316
Practice Address - Country:US
Practice Address - Phone:972-612-2099
Practice Address - Fax:972-599-2261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00865ZMedicare PIN