institution
Molina Medical Management Group.ltd
General Practice Physician in Irving, Texas
NPI 1558323857

Molina Medical Management Group.ltd is a General Practice Physician based in Irving, TX. Molina Medical Management Group.ltd practices in Irving, TX. The NPI Number for Molina Medical Management Group.ltd is 1558323857 and holds a License No. (Texas).

The current practice location address for Molina Medical Management Group.ltd is 1901 W Irving Blvd, Irving, TX and can be reached out via phone at 972-259-6900 and via fax at 972-254-5501. You can also correspond with Molina Medical Management Group.ltd through the mailing address at 1901 W IRVING BLVD, IRVING, TX - 75061-6823 (mailing address contact number: 972-259-6900).

Location: 1901 W Irving Blvd, Irving, TX, 75061-6823
institution
Provider Profile Details
NPI Number
1558323857
Provider Name
Molina Medical Management Group.ltd
Credential
Provider Entity Type
Organization
Address
1901 W Irving Blvd, Irving, TX, 75061-6823
Phone Number
972-259-6900
Fax Number
972-254-5501
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0052EM 01 TX BCBS
092356702 05 TX
092357601 05 TX
institution
Provider Business Practice Location Address Details
Address
1901 W Irving Blvd
City
State
Zip
75061-6823
Phone Number
972-259-6900
Fax Number
972-254-5501
person
Provider Business Mailing Address Details
Address
1901 W Irving Blvd
City
State
Zip
75061-6823
Phone Number
972-259-6900
Fax Number
972-254-5501
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
(Texas)
Definition
Definition to come...
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