Individual
JEANNE KATHLEEN MAALOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M4867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188342301
—
TX
01
—
8V3775
BLUE CROSS BLUE SHIELD
TX
01
—
P00449617
RAILROAD MEDICARE
TX
Enumeration date
10/10/2006
Last updated
11/22/2022
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