Mi Familia Medical PLLC
General Practice in Dallas, TX. Organization (NPI-2).
NPI number1003133604
StatusActive
Last updated in NPPESMay 4, 2010
Details
- NPI
- 1003133604
- Entity type
- Organization (NPI-2)
- Legal business name
- Mi Familia Medical PLLC
- Organization subpart
- Yes
- Enumeration date
- Apr 23, 2010
- Last updated
- May 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | K0518 | TX | Yes |
Other names
- Oakcliff (Other Name)
Practice location
817 W Jefferson BlvdDallas, TX 75208-4924
Phone 214-941-5777 · Fax 214-941-5131
Mailing address
9090 Skillman StSte 200c
Dallas, TX 75243-8263
Phone 214-342-5757 · Fax 214-340-4868
Authorized official
Peter J Malouf
Physician
2143425757
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