National Provider Identifier Database

MIFAMILIA MEDICAL PLLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

MIFAMILIA MEDICAL , PLLC
2445 W NORTHWEST HWY 105
DALLAS, TX75220
Phone: 972-861-5544
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for MIFAMILIA MEDICAL , PLLC

NPI Number 1740507573
Legal business name
LBN
MIFAMILIA MEDICAL , PLLC
Authorized official PETER MALOUF - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 05/04/2010
Last updated 05/04/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: K0518

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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