| Molina Medical Center | |
|
1901 W Irving Blvd Irving TX 75061-6826 | |
| (972) 259-6900 | |
| (972) 254-5501 |
| Full Name | Molina Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 1901 W Irving Blvd, Irving, Texas |
| Authorized Official Name and Position | Brandi Michele Gibson Pahari (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9722596900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Medical Center 1901 West Irving Blvd Irving TX 75061-6026 Ph: (972) 259-6900 | Molina Medical Center 1901 W Irving Blvd Irving TX 75061-6826 Ph: (972) 259-6900 |
| NPI Number | 1417922766 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417922766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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