Provider Demographics
NPI:1376586537
Name:MAKHLOUF, ANTOINE ANTONIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTOINE
Middle Name:ANTONIOS
Last Name:MAKHLOUF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:P O BOX 460569
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-8569
Mailing Address - Country:US
Mailing Address - Phone:713-781-4600
Mailing Address - Fax:713-273-5820
Practice Address - Street 1:1429 HIGHWAY 6 SOUTH
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5135
Practice Address - Country:US
Practice Address - Phone:713-273-5845
Practice Address - Fax:713-273-5820
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-113778208800000X
TXN4571208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L23910Medicare PIN