| Juan Carlos Molina Md Pa | |
|
8 Medical Pkwy Professional Plaza 2 Ste 202 Dallas TX 75234-7859 | |
| (972) 620-2626 | |
| Not Available |
| Full Name | Juan Carlos Molina Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 8 Medical Pkwy, Dallas, Texas |
| Authorized Official Name and Position | Carlos Molina (PRESIDENT) |
| Authorized Official Contact | 9726202626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Carlos Molina Md Pa 8 Medical Pkwy Professional Plaza 2 Ste 202 Dallas TX 75234-7859 Ph: (972) 620-2626 | Juan Carlos Molina Md Pa 8 Medical Pkwy Professional Plaza 2 Ste 202 Dallas TX 75234-7859 Ph: (972) 620-2626 |
| NPI Number | 1538260245 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 01/11/2011 |
| Medicare PECOS PAC ID | 5294737334 |
|---|---|
| Medicare Enrollment ID | O20070202000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538260245 | NPI | - | NPPES |
| M4369 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M4369 (Texas) | Primary |
| Provider Name | Juan Carlos Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629179338 PECOS PAC ID: 3274595756 Enrollment ID: I20070207000206 |
| Provider Name | Ashley Johnson Nakwaasah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407469125 PECOS PAC ID: 7012320484 Enrollment ID: I20201231001044 |
| Provider Name | Lydia Ann Bruck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447999081 PECOS PAC ID: 4284014739 Enrollment ID: I20220630001837 |
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