Organization Active NPI

Mi Familia Medical PLLC

  • General Practice Physician
  • Austin, TX
National Provider Identifier
1861719155
Registry record updated May 7, 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
9616 N Lamar Blvd
Austin, TX 78753-4152
Phone
(512) 610-0566
Fax
(512) 610-0570
NPI assigned
Apr 26, 2010
Last updated
May 7, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MI FAMILIA MEDICAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Peter J Malouf, DONPI 1225047012
Title
Physician
Phone
(214) 342-5757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9616 N Lamar Blvd
Austin, TX 78753-4152

Mailing address

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

Other names 1

  • Austin- Lamar 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.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1861719155",
    "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": "9616 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534152",
            "telephone_number": "512-610-0566",
            "fax_number": "512-610-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI FAMILIA MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MI FAMILIA MEDICAL PLLC",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-05-07",
        "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": "Austin- Lamar",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.