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Contact Information

DAVID W MALY, CRNA
2904 NORTH 4TH STREET
LRMC
LONGVIEW, TX75605
 Phone: 903-232-3725
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for DAVID W MALY · (Male)

NPI Number 1831194885
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 06/16/2005
Last updated 12/07/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 513830
  • TX Medicaid 002538904
  • TX Medicaid 002538908
  • TX Other P01536081 RAIL ROAD
  • TX Other 75-0818167-015 TRICARE
Hospital affiliation(s)
  • GOOD SHEPHERD MEDICAL CENTER MARSHALL - (Acute Care)
    811 S WASHINGTON
    MARSHALL, TX 75670
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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