Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE MALONE, REPT, CNIM
Active Sole ProprietorElectroneurodiagnostic Technologist · TYLER, TX
Registration Details
- NPI Number
- 1508421108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2019 (6.956450481324 yrs)
- Last Updated
- May 8, 2019
- License
-
2580 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1356 OLD CREEK DRTYLER, TX, 757037642Browse TX providers · Browse ZIP 75703
- Phone
- 9035340809
- Fax
- 9039399149
- Primary Specialty
-
Electroneurodiagnostic Technologist
246ZE0600X
- Additional Specialty
- Medical Laboratory Technician
- Additional Specialty
- Electroneurodiagnostic Technologist
Other Electroneurodiagnostic Technologist Providers in TYLER, TX
| Name | Credential | NPI |
|---|---|---|
| OSCAR PADILLA RIOS | CNIM 3338 | 1508315755 |
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.