SHANE MALONE REPT, CNIM – NPI #1508421108
Specialist/Technologist, Other

SHANE MALONE is a technologist located in TYLER, TX. NPPES has assigned the NPI number 1508421108 to SHANE MALONE on May 08, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHANE MALONE below.

NPI Profile for
SHANE MALONE

NPI Number
1508421108
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SHANE MALONE
Credentials
REPT, CNIM
Primary location
1356 OLD CREEK DR
TYLER, TX 75703-7642
Phone: (903) 534-0809 Fax: (903) 939-9149
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.