# ALBERTO A.J. MAILLARD, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285699421
- **Authorized official:** DR. ALBERTO A.J. MAILLARD MD (PRESIDENT)
- **Authorized official phone:** (713) 790-0239

## Contact information

- **Practice address:** 6410 FANNIN ST, SUITE 1508, HOUSTON, TX 77030-3000
- **Practice address phone:** (713) 790-0239
- **Practice address fax:** (713) 790-1262
- **Mailing address:** 6410 FANNIN ST, SUITE 1508, HOUSTON, TX 77030-3000
- **Mailing address phone:** (713) 790-0239
- **Mailing address fax:** (713) 790-1262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 08/08/2016