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Individual

PETER J MALOUF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7100 OAKMONT BLVD STE 101, FORT WORTH, TX 76132-3908
(817) 205-3075
Mailing address
7100 OAKMONT BLVD STE 101, FT WORTH, TX 76132-3908
(817) 205-3075

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
K0518
TX
207N00000X
Dermatology Physician
Primary
K0518
TX
207ND0101X
MOHS-Micrographic Surgery Physician
K0518
TX

Other

Enumeration date
08/08/2006
Last updated
10/24/2025
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