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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE MALONE, REPT, CNIM

Active Sole Proprietor

SHANE MALONE, REPT, CNIM is a Electroneurodiagnostic Technologist healthcare provider located in TYLER, Texas. NPI 1508421108 is currently active in the NPPES registry. Verify at CMS.

Electroneurodiagnostic Technologist · TYLER, TX

Registration Details

NPI Number
1508421108
Provider Type
Individual
Gender
Male
NPI Issued
May 8, 2019 (7.2950871654891 yrs)
Last Updated
May 8, 2019
License
2580 (TX)
Sole Proprietor
Yes

Practice Information

Address
1356 OLD CREEK DR
TYLER, TX, 757037642
Browse TX providers · Browse ZIP 75703
Phone
9035340809
Fax
9039399149
Primary Specialty
Electroneurodiagnostic Technologist
246ZE0600X
Additional Specialty
Medical Laboratory Technician

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.