Molina Medical Center

LBN: Molina Medical Management Group.Ltd
Molina Medical Center is an health care organization with primary practice located at 1901 W Irving Blvd Suite 100, Irving TX 75061-6823. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Molina Medical Management Group.Ltd can be contacted via phone (972) 259-6900, or through Gibson, Brandi Michele via phone (972) 259-6900.

Contact Information

Primary practice address
1901 W Irving Blvd Suite 100 Irving TX 75061-6823
Phone: (972) 259-6900
Fax: (972) 254-5501
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Brandi Michele
Phone: (972) 259-6900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X Texas

Profile Details

NPI number 1558323857
LBN Legal business name Molina Medical Management Group.Ltd
DBA Doing business as Molina Medical Center
Authorized official Gibson, Brandi Michele
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558323857 NPPES
Texas Other 0052EM BCBS
Texas MEDICAID 092356702 BCBS
Texas MEDICAID 092357601 BCBS

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