Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Malone, REPT, CNIM

Individual provider EEG Specialist/Technologist · NPI 1508421108

Shane Malone, REPT, CNIM is an EEG Specialist/Technologist in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2019
Specialties on file
3

Practice location Address checks out

1356 Old Creek Dr
Tyler, TX 75703-7642
Phone: (903) 534-0809
Fax: (903) 939-9149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X · Licence 2580 (TX)
EEG Specialist/Technologist Taxonomy 246ZE0500X
Surgical Technologist Taxonomy 246ZS0410X

Record details

NPI number1508421108
Entity typeIndividual (Type 1)
GenderMale
Credentials REPT , CNIM
Sole proprietorYes
NPI enumeratedMay 8, 2019
Last updated in NPPESMay 8, 2019

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