MIFAMILIA MEDICAL PLLC (NPI# 1477870202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477870202 |
| Entity Type | Organization |
| Organization Name | MIFAMILIA MEDICAL PLLC |
| Other Organization Name | GRAND PRAIRIE |
| Practice Address |
928 N Belt Line Rd Ste 200 Grand Prairie TX 75050 |
| Mailing Address |
9090 Skillman Ste 200c Dallas TX 75243-8259 |
| Practice Telephone | 9723141311 |
| Practice Fax Number | 9723141315 |
| 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 |
|---|---|
| Grand Prairie | Other Name - Individual/Organization |
| Street Address |
928 N BELT LINE RD STE 200 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851567374 | Fort Worth Rehab Group, Inc. | Chiropractor | 928 N Belt Line Rd, Suite 200, Grand Prairie, TX 75050-5864 | 2008-05-05 |
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| 1164966651 | Prime Diagnostic Imaging of Irving, LLC | Clinic/Center | 2210 Paddock Way, Grand Prairie, TX 75050 | 2016-12-19 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| Find all providers in zip 75050 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1972739555 | Shayne A Mcanalley | General Practice | 1610 W Polo Rd, Grand Prairie, TX 75052-1852 | 2009-06-09 |
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| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
Please comment or provide details below to improve the information on MIFAMILIA MEDICAL PLLC.
| 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.