Organization
JOHN G MALOUF DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANN MALOUF (MANAGER BILLING)
(361) 985-2015
Entity
Organization
Contact information
Practice address
5022 HOLLY RD, SUITE 105, CORPUS CHRISTI, TX 78411-4761
(361) 985-2015
(361) 985-2016
Mailing address
5022 HOLLY RD, SUITE 105, CORPUS CHRISTI, TX 78411-4761
(361) 985-2015
(361) 985-2016
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L3387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00047Z
MEDICARE GROUP ID
TX
05
—
152280703
—
TX
Enumeration date
10/27/2006
Last updated
10/23/2008
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