Rodolfo Molina, MD | |
2485 E Southlake Blvd Ste 100, Southlake, TX 76092-6687 | |
(817) 873-0595 | |
Not Available |
Full Name | Rodolfo Molina |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2485 E Southlake Blvd Ste 100, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083619605 | NPI | - | NPPES |
12190303 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | J2895 (Texas) | Primary |
Entity Name | Molina Psychiatric Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831756303 PECOS PAC ID: 4587991625 Enrollment ID: O20190812002579 |
Mailing Address | Practice Location Address |
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Rodolfo Molina, MD 2485 E Southlake Blvd Ste 100, Southlake, TX 76092-6687 Ph: (817) 873-0595 | Rodolfo Molina, MD 2485 E Southlake Blvd Ste 100, Southlake, TX 76092-6687 Ph: (817) 873-0595 |
Dr. Mahta Ostadian, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 541 Silicon Dr Ste 102, Southlake, TX 76092 Phone: 817-539-6819 Fax: 817-539-6870 | |
Dr. Nishant Rajesh Patel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 541 Silicon Dr Ste 102, Southlake, TX 76092 Phone: 817-539-6819 | |
Dr. Joe Boyd Bates, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 Corporate Cir Ste 7, Southlake, TX 76092 Phone: 417-761-5006 Fax: 417-761-5065 | |
Viktoria Zatkalik, NP-C Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 109 River Oaks Dr Ste 150, Southlake, TX 76092 Phone: 817-379-9922 Fax: 817-379-9998 | |
Dr. James Francesconi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 109 River Oaks Dr Ste 150, Southlake, TX 76092 Phone: 817-379-9922 Fax: 817-379-9998 | |
Mrs. Laura Marcela Fredes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 536 Silicon Dr Ste 102, Southlake, TX 76092 Phone: 817-203-4179 Fax: 817-259-2793 |