Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MALCOLM RANDALL QUATTLEBAUM
Active Sole ProprietorMR. MALCOLM RANDALL QUATTLEBAUM is a Durable Medical Equipment & Medical Supplies healthcare provider located in ATHENS, Texas. NPI 1255456661 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · ATHENS, TX
Registration Details
- NPI Number
- 1255456661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2007 (19.216307499719 yrs)
- Last Updated
- Jan 20, 2009
- License
-
0079342 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3090 FM 317ATHENS, TX, 757525796Browse TX providers · Browse ZIP 75752
- Phone
- 9036755900
- Fax
- 9036755900
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.