Provider Demographics
NPI:1699096966
Name:MALOUF, NICOLE ELAINE (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ELAINE
Last Name:MALOUF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25915 KALKSTEINE LOOP
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-2794
Mailing Address - Country:US
Mailing Address - Phone:210-508-2559
Mailing Address - Fax:
Practice Address - Street 1:1751 MEDICAL WAY
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4521
Practice Address - Country:US
Practice Address - Phone:830-627-0911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1665207P00000X, 208D00000X
SCMMD.32754 LL207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice