| NPI | 1558017962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR OSCAR MOLINA Member 972-600-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207Q00000X Family Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
| 2083T0002X Preventive Medicine, Medical Toxicology | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine | |
| 213E00000X Podiatrist | |
| 224P00000X Prosthetist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2023-09-26 |