Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY CHIP MALOUF, M.D.
Active Sole ProprietorSports Medicine · LUBBOCK, TX
Registration Details
- NPI Number
- 1679891576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2010 (15.950008479048 yrs)
- Last Updated
- Jun 11, 2019
- Licenses
-
549804 (TX)33671 (SC)BP1 0036959 (TX)R3709 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3601 4TH ST DEPT OFLUBBOCK, TX, 794304206Browse TX providers · Browse ZIP 79430
- Phone
- 8067431000
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- General Surgery
- Additional Specialty
- General Surgery
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in LUBBOCK, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. AMY SAMAH KATHRINE MOSES-NANTHAN | MD | 1679984181 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.