Peter J Malouf
Dermatologist MOHS-Micrographic Surgeon
203 Walls Dr Ste 100
Cleburne
, Texas 76033
Peter J Malouf
Dermatologist MOHS-Micrographic Surgeon
203 Walls Dr Ste 100
Cleburne
, Texas 76033
(817) 205-3075
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Peter J Malouf
- 5825 Edwards Ranch Rd Ste 201
- Ft Worth, TX
- Zip : 76109-4122
- Phone : (817) 205-3075
Second Address
- Peter J Malouf
- 203 Walls Dr Ste 100
- Cleburne, TX
- Zip : 76033
- Fax : (817) 641-3355
- Phone : (817) 205-3075
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | K0518 | TX |
| N | 207ND0101X | MOHS-Micrographic Surgeon | K0518 | TX |
National Provider Identifier
| NPI | 1225047012 |
|---|---|
| Provider Name | Peter J Malouf |
| First Address | Ft Worth, TX 76109-4122 |
| Second Address | Cleburne, TX 76033 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 29/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G33212 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.