Malouf Dermatology Dallas PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

K0518 Issued in TX

Legal business name

MALOUF DERMATOLOGY DALLAS PA

Practice address

6115 Berkshire LN
Dallas, TX 75225-5537

Phone

(817) 489-6908

NPI assigned

Jun 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter J Malouf, MDNPI 1225047012

Title

President

Phone

(817) 489-6908

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter J Malouf, D.O.

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1225047012

  Multi-Specialty

  NPD (past) Authorized official
• Mobolaji M Opeola, M.D.

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1578762563
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1326207945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 BERKSHIRE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 BERKSHIRE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255537",
            "telephone_number": "817-489-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALOUF DERMATOLOGY DALLAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "MALOUF",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-489-6908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K0518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxi Malone, LPC
• Sarah Jean Malone, CRNP
• Timothy F Malone, DO
• Jessica Maloney, LPC, LCDC
• Joseph Michael Maloney Jr.
• Karen Malouf, RD
• Maloy Performance Chiropractic PC
• Debra A. Maloy, CRNA
• Lezlie Lane Maloy, D.C.
• Shea Harrison Maloy, MD

• Dermatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.