MIFAMILIA MEDICAL , PLLC


Address: 2445 W Northwest Hwy 105, Dallas, TX 75220
Phone: 9728615544

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice K0518 TX Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Harry Hines Other Name - Individual/Organization

Office Location

Street Address 2445 W NORTHWEST HWY 105
City DALLAS
State TX
Zip Code 75220

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City DALLAS
Zip Code 75220

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Dataset Information

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.

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