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SHANE MALONE REPT, CNIM
NPI 1508421108
Specialist/Technologist, Other - Electroneurodiagnostic in Tyler, TX

Active since May 08, 2019
1356 OLD CREEK DR, TYLER, TX 75703(903) 534-0809(903) 939-9149 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane Malone Rept, Cnim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE MALONE REPT, CNIM (NPI 1508421108) is an individual electroneurodiagnostic provider in Tyler, Texas, licensed in Texas (2580) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1508421108
Entity TypeIndividualMale
Primary Taxonomy246ZE0600X
Provider Legal NameSHANE MALONECredential: REPT, CNIM
Location Address1356 OLD CREEK DRTyler, TX 75703-7642
Mailing Address1356 Old Creek DrTyler, TX 75703-7642 · (903) 534-0809
Phone(903) 534-0809
Fax(903) 939-9149
Sole ProprietorYes
Enumeration DateMay 8, 2019
✔ NPI 1508421108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
License✔ Licensed in TX · 2580
Also ListedSpecialist/Technologist, Other · EEGTaxonomy 246ZE0500X
Also ListedSpecialist/Technologist, Other · Surgical TechnologistTaxonomy 246ZS0410X
1356 OLD CREEK DR, Tyler, TX 75703
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENT T ALFORD MD PA
Neurological Surgery
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-0809
DR. THOMAS J TRESE DO
Psychiatry & Neurology (Neurology)
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (972) 724-5446
VICTOR PAINTER REEGT
Specialist/Technologist, Other (EEG)
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-0809
NEUROTEX EQUIPMENT & SUPPLY
Physiological Laboratory
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-8812
OSCAR PADILLA RIOS CNIM 3338
Specialist/Technologist, Other (Electroneurodiagnostic)
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-0809
NEURODIAGNOSTIC TEX, LLC
Electrodiagnostic Medicine
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-0809
IAN WINN REEG/EPT, CNIM
Specialist/Technologist, Other (EEG)
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-8812
MS. AMANDA N BAILEY REPT, CNIM
Specialist/Technologist, Other (EEG)
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-8812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Malone's NPI number?

The NPI number for Shane Malone is 1508421108. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Shane Malone located?

Shane Malone practices at 1356 Old Creek Dr, Tyler, TX 75703. The listed phone number is (903) 534-0809.

What is Shane Malone's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Shane Malone was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.