MIFAMILIA MEDICAL , PLLC (NPI# 1740507573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740507573 |
Entity Type | Organization |
Organization Name | MIFAMILIA MEDICAL , PLLC |
Other Organization Name | HARRY HINES |
Practice Address |
2445 W Northwest Hwy 105 Dallas TX 75220 |
Mailing Address |
9090 Skillman Street Ste 200c Dallas TX 75243-8259 |
Practice Telephone | 9728615544 |
Mailing Telephone | 2143425757 |
Enumeration Date | 2010-05-04 |
Last Update Date | 2010-05-04 |
Authorized Official Name | PETER J MALOUF (OWNER/PHYSICIAN) |
Authorized Official Telephone | 2143425757 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | K0518 | TX | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Harry Hines | Other Name - Individual/Organization |
Street Address |
2445 W NORTHWEST HWY 105 |
City | DALLAS |
State | TX |
Zip Code | 75220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
1205379807 | Belamour Home Care | Home Health | 9711 Dale Crest Dr. #231, Dallas, TX 75220 | 2016-11-30 |
1760828404 | Chrisbibi Homehealth Agency Inc | Nursing Care | 2514 Community Dr Suite 107, Dallas, TX 75220 | 2013-05-21 |
1841540697 | Suzanne Eades | Psychologist | 9407 Midway Road, Dallas, TX 75220 | 2012-09-19 |
1215210141 | Susan Pham | Pharmacist | 3732 W. Northwest Hwy, Dallas, TX 75220 | 2011-09-27 |
1306173273 | Kevin Khoi Nguyen | Pharmacist | 3732 W Northwest Highway, Dallas, TX 75220 | 2009-11-12 |
1154554434 | Amanda L Carlile | Nurse Practitioner | 3978 Beechwood Ln, Dallas, TX 75220 | 2009-09-02 |
1417180373 | Lauri Ruth Jacoby-greenberg | Speech-Language Pathologist | 9741 Meadowbrook Dr., Dallas, TX 75220 | 2009-08-26 |
1114164480 | Hamid Reza Kashani Madjd | Dentist | 3701 W Northwest Highway, Suite # 306, Dallas, TX 75220 | 2009-01-08 |
1336394568 | Jason Troy Bacon | Dentist | 3701 W. Northwest Hwy, Ste #306, Dallas, TX 75220 | 2008-12-02 |
Find all providers in zip 75220 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1922542075 | Liferestore Md Usa LLC | General Practice | 3910 Gaston Ave Ste 140, Dallas, TX 75246-1523 | 2016-12-08 |
1275996860 | Doorstep Procare Management LLC | General Practice | 12035 Shiloh Rd Ste 310, Dallas, TX 75228-1507 | 2016-03-31 |
1023490661 | Adjust Physical Medicine Pllc | General Practice | 13450 Inwood Rd Ste 100, Dallas, TX 75244-5324 | 2015-06-19 |
1679983480 | Nathaniel Ott | General Practice | 810 Turner Ave, Dallas, TX 75208-3737 | 2014-05-01 |
1720427057 | Merritt Bonar Teddlie | General Practice | 7830 Meadow Park Dr, 108, Dallas, TX 75230-4942 | 2013-06-20 |
Find all providers in DALLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.