NPIMap

Organization Active NPI

Mi Familia Medical PLLC

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1003133604
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
K0518 Issued in TX
Legal business name
MI FAMILIA MEDICAL PLLC
Practice address
817 W Jefferson Blvd
Dallas, TX 75208-4924
Phone
(214) 941-5777
Fax
(214) 941-5131
NPI assigned
Apr 23, 2010
Organization subpart
Yes
Parent organization
MIFAMILIA MEDICAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Peter J Malouf, DO
Title
Physician
Phone
(214) 342-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X K0518 TX Primary

Addresses

Primary practice location

817 W Jefferson Blvd
Dallas, TX 75208-4924

Mailing address

9090 Skillman St
Ste 200C
Dallas, TX 75243-8263
Phone (214) 342-5757

Other names 1

  • Oakcliff Other name

National Provider Directory

National Provider Directory
Tax ID family
Mi Familia Medical PLLC5 organizations share this tax ID, including this one
Part of
Mi Familia Medical PLLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1003133604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 SKILLMAN ST",
            "address_2": "STE 200C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438263",
            "telephone_number": "214-342-5757",
            "fax_number": "214-340-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W JEFFERSON BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084924",
            "telephone_number": "214-941-5777",
            "fax_number": "214-941-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI FAMILIA MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIFAMILIA MEDICAL PLLC",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "MALOUF",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-342-5757",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "K0518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakcliff",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.