| Organization Name: | MIFAMILIA MEDICAL , PLLC |
| NPI Number: | 1740507573 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER J MALOUF (OWNER/PHYSICIAN) |
| Mailing Address: | 2445 W Northwest Hwy 105 Dallas |
| State: | TX US |
| Postal Code: | 75220 |
| Phone Number: | 9728615544 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2010 |
| NPI Last Update Date: | 05/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | K0518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |