| Austin- Lamar | |
|
9616 N Lamar Blvd Austin TX 78753-4152 | |
| (512) 610-0566 | |
| (512) 610-0570 |
| Full Name | Austin- Lamar |
|---|---|
| Speciality | General Practice |
| Location | 9616 N Lamar Blvd, Austin, Texas |
| Authorized Official Name and Position | Peter J Malouf (PHYSICIAN) |
| Authorized Official Contact | 2143425757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin- Lamar 9090 Skillman St Ste 200c Dallas TX 75243-8263 Ph: (214) 342-5757 | Austin- Lamar 9616 N Lamar Blvd Austin TX 78753-4152 Ph: (512) 610-0566 |
| NPI Number | 1861719155 |
|---|---|
| Provider Enumeration Date | 04/26/2010 |
| Last Update Date | 05/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861719155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | K0518 (Texas) | Primary |
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