| NPI | 1043955297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR OSCAR MOLINA Managing Member 469-455-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| 207R00000X Internal Medicine | |
| 213E00000X Podiatrist | |
| 222Z00000X Orthotist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2024-12-29 |