| NPI | 1477870202 |
|---|---|
| Other Name | GRAND PRAIRIE |
| Entity Type | Organization |
| Authorized Contact | PETER J MALOUF Owner/Physician 214-342-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX K0518) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |