Organization
MIFAMILIA MEDICAL PLLC
Active
Other names
Grand Prairie
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J MALOUF DO (OWNER/PHYSICIAN)
(214) 342-5757
Entity
Organization
Contact information
Practice address
928 N BELT LINE RD, STE 200, GRAND PRAIRIE, TX 75050
(972) 314-1311
(972) 314-1315
Mailing address
9090 SKILLMAN, STE 200C, DALLAS, TX 75243-8259
(214) 342-5757
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
K0518
TX
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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