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Organization
MI FAMILIA MEDICAL, PLLC
Active
Organization
MI FAMILIA MEDICAL, PLLC
Active
Other names
Mi Familia Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH B VENTIMIGLIA M.D (MEDICAL DIRECTOR)
(214) 253-2402
Entity
Organization
Contact information
Practice address
11000 GARLAND RD, DALLAS, TX 75218-2615
(972) 331-1922
(972) 331-1926
Mailing address
4901 LBJ FREEWAY, 200, DALLAS, TX 75244-6158
(214) 253-2402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0231
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OA5274
MEDICARE GROUP
TX
01
—
OA5790
MEDICARE GROUP
TX
Enumeration date
08/31/2009
Last updated
06/08/2011
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