Organization
ALBERTO A.J. MAILLARD, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERTO A.J. MAILLARD MD (PRESIDENT)
(713) 790-0239
Entity
Organization
Contact information
Practice address
6410 FANNIN ST, SUITE 1508, HOUSTON, TX 77030-3000
(713) 790-0239
(713) 790-1262
Mailing address
6410 FANNIN ST, SUITE 1508, HOUSTON, TX 77030-3000
(713) 790-0239
(713) 790-1262
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110376402
—
TX
Enumeration date
04/19/2006
Last updated
08/08/2016
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