| NPI | 1043955297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR OSCAR MOLINA Managing Member 817-703-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TF0000X Psychologist Family |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 213E00000X Podiatrist | |
| 222Z00000X Orthotist | |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363AM0700X Physician Assistant Medical | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |