Molina, Rodolfo
Molina, Rodolfo is an sole proprietor health care provider with primary practice located at 2485 E Southlake Blvd Ste 100 , Southlake TX 76092-6687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Molina, Rodolfo can be contacted via phone (817) 873-0595.Contact Information
Primary practice address
2485 E Southlake Blvd Ste 100
Southlake TX 76092-6687
Phone: (817) 873-0595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | J2895 | Texas |
Profile Details
| NPI number | 1083619605 |
|---|---|
| LBN Legal business name | Molina, Rodolfo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | May 18th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083619605 | NPPES |
| Texas | MEDICAID | 12190303 |
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