| Molina Medical Group Pllc | |
|
2201 1st St Ste 6 Rosenberg TX 77471-5019 | |
| (281) 817-6667 | |
| Not Available |
| Full Name | Molina Medical Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2201 1st St Ste 6, Rosenberg, Texas |
| Authorized Official Name and Position | Jerlys Suarez Lopez (FNP) |
| Authorized Official Contact | 8329966911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Medical Group Pllc 3026 Coachmaker Trl Rosenberg TX 77471-1530 Ph: (281) 817-6667 | Molina Medical Group Pllc 2201 1st St Ste 6 Rosenberg TX 77471-5019 Ph: (281) 817-6667 |
| NPI Number | 1801583323 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 7214393057 |
|---|---|
| Medicare Enrollment ID | O20230519002015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801583323 | NPI | - | NPPES |
| Provider Name | Yanisleibis Molina Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154917896 PECOS PAC ID: 8527467943 Enrollment ID: I20230519002232 |
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