MI FAMILIA MEDICAL PLLC (NPI# 1861719155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861719155 |
| Entity Type | Organization |
| Organization Name | MI FAMILIA MEDICAL PLLC |
| Other Organization Name | AUSTIN- LAMAR |
| Practice Address |
9616 N Lamar Blvd Austin TX 78753-4152 |
| Mailing Address |
9090 Skillman St Ste 200c Dallas TX 75243-8263 |
| Practice Telephone | 5126100566 |
| Practice Fax Number | 5126100570 |
| Mailing Telephone | 2143425757 |
| Mailing Fax Number | 2143404868 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | PETER J MALOUF (PHYSICIAN) |
| Authorized Official Telephone | 2143425757 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | MI FAMILIA MEDICAL PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | K0518 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Austin- Lamar | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861719387 | Mi Familia Medical Pllc | General Practice | 1100 Garland Road, Dallas, TX 75218 | 2010-04-23 |
| 1003133604 | Mi Familia Medical Pllc | General Practice | 817 W Jefferson Blvd, Dallas, TX 75208-4924 | 2010-04-23 |
| Street Address |
9616 N LAMAR BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235218082 | Lee Nguyen Vu | Optometrist | 9616 N Lamar Blvd, Ste. 159, Austin, TX 78753-4150 | 2006-11-03 |
| 1245798693 | Lydia James | Occupational Therapist | 9616 N Lamar Blvd, #105, Austin, TX 78753 | 2019-03-05 |
| 1497228472 | Helen Fredericka Long | Speech-Language Pathologist | 9616 N Lamar Blvd, Austin, TX 78753-4152 | 2019-01-02 |
| 1821506429 | Tori Drew | Speech-Language Pathologist | 9616 N Lamar Blvd, Austin, TX 78753-4152 | 2018-01-17 |
| 1831541465 | Leonides Gomez Jr. | Specialist/Technologist | 9616 N Lamar Blvd, Suite 105, Austin, TX 78753-4152 | 2016-07-07 |
| 1659751568 | Patricia Sanders | Occupational Therapist | 9616 N Lamar Blvd, 105, Austin, TX 78753-4152 | 2015-06-05 |
| 1285873232 | Lamar Dental Center | Dentist | 9616 N Lamar Blvd, Ste 162, Austin, TX 78753-4152 | 2009-02-16 |
| 1013163377 | Epic Pediatric Therapy, Lp. | Clinic/Center | 9616 N Lamar Blvd, Suite 105, Austin, TX 78753-4152 | 2008-08-18 |
| 1023236510 | Phuong N Nguyen | Dentist | 9616 N Lamar Blvd, #162, Austin, TX 78753-4152 | 2007-04-23 |
| 1194850347 | Shelly Chicoine Hogan | Chiropractor | 9616 N Lamar Blvd, Ste. 180, Austin, TX 78753-4152 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1457974065 | Dagoberto Balderas, Do, Pllc | General Practice | 5424 W Highway 290 Ste 101, Austin, TX 78735-8838 | 2020-05-19 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1356858377 | Where R U Now, LLC | General Practice | 7110 Cameron Rd Ste E, Austin, TX 78752-2868 | 2017-12-29 |
| 1073066239 | The University of Texas At Austin | General Practice | 1601 Trinity Street, Austin, TX 78712 | 2016-07-25 |
| 1306291620 | Healthy Schools Texas Pllc | General Practice | 9415 Burnet Rd, Ste 309b, Austin, TX 78758-5255 | 2016-04-25 |
| 1649694035 | John Maxwell | General Practice | 12817 Hacienda Rdg, Austin, TX 78738-7652 | 2014-02-06 |
| 1982031852 | Total Md Physicians Group, Pllc | General Practice | 12717 Shops Pkwy, Suite 500, Austin, TX 78738-6621 | 2013-10-08 |
| 1932440245 | Travis County Employee Wellness & Health | General Practice | 1010 Lavaca St # 221, Austin, TX 78701-2331 | 2013-03-12 |
| 1447590765 | David L King | General Practice | 10609 Pickfair Dr, Austin, TX 78750-4010 | 2013-02-23 |
| 1407101744 | Susan Elizabeth Zane | General Practice | 100 Pascal Ln, Austin, TX 78746-2506 | 2012-07-23 |
| Find all providers in AUSTIN | ||||
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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.