NPIMap

Organization Active NPI

Mifamilia Medical , PLLC

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1740507573
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
MIFAMILIA MEDICAL , PLLC
Practice address
2445 W Northwest Hwy 105
Dallas, TX 75220
Phone
(972) 861-5544
NPI assigned
May 4, 2010
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
No

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
Owner/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

2445 W Northwest Hwy 105
Dallas, TX 75220

Mailing address

9090 Skillman Street
Ste 200C
Dallas, TX 75243-8259
Phone (214) 342-5757

Other names 1

  • Harry Hines Other name

National Provider Directory

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

Other organizations with this tax ID 4

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

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1740507573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 SKILLMAN STREET",
            "address_2": "STE 200C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438259",
            "telephone_number": "214-342-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 W NORTHWEST HWY 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75220",
            "telephone_number": "972-861-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIFAMILIA MEDICAL , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "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": "OWNER/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": "Harry Hines",
            "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.