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Contact Information

MIFAMILIA MEDICAL PLLC
928 N BELT LINE RD
STE 200
GRAND PRAIRIE, TX75050
 Phone: 972-314-1311
 Fax: 972-314-1315
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MIFAMILIA MEDICAL PLLC

NPI Number 1477870202
LBN Legal business name MIFAMILIA MEDICAL PLLC
Authorized official PETER MALOUF - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2010
Last updated 05/04/2010 - About 16 years ago
Identifiers
TX License # K0518
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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