MOLINA MEDICAL MANAGEMENT GROUP.LTD (NPI# 1558323857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558323857 |
| Entity Type | Organization |
| Organization Name | MOLINA MEDICAL MANAGEMENT GROUP.LTD |
| Other Organization Name | MOLINA MEDICAL CENTER |
| Practice Address |
1901 W Irving Blvd Suite 100 Irving TX 75061-6823 |
| Mailing Address |
1901 W Irving Blvd Ste 100 Irving TX 75061-6823 |
| Practice Telephone | 9722596900 |
| Practice Fax Number | 9722545501 |
| Mailing Telephone | 9722596900 |
| Mailing Fax Number | 9722545501 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-03-10 |
| Authorized Official Name | MRS. BRANDI MICHELE GIBSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9722596900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ========= | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0052EM | 01 |
| TX | 092356702 | 05 | |
| TX | 092357601 | 05 |
| Other Name | Type Code |
|---|---|
| Molina Medical Center | Doing Business As Name - Organization |
| Street Address |
1901 W IRVING BLVD SUITE 100 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-6823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216712 | Sergio Grossling | Emergency Medicine | 1901 W Irving Blvd, Suite 100, Irving, TX 75061-6823 | 2005-12-16 |
| 1124489141 | Margarita Pena-obando | Chiropractor | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2016-03-18 |
| 1942674296 | Dfw Community Medical Group Pllc | Nurse Practitioner | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2015-11-24 |
| 1518335090 | Hamzat Adefemi Oshun | Nurse Practitioner | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2015-09-14 |
| 1164807061 | Christopher A. Emdin | Dentist | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2015-07-21 |
| 1962649756 | Opticare Home Health Services Inc | Home Health | 1901 W Irving Blvd, Ste 400, Irving, TX 75061-6823 | 2009-01-15 |
| 1609083880 | Amos Momanyi Abuga | Pharmacist | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2007-05-17 |
| 1376653105 | Focus Imaging Inc | Clinic/Center | 1901 W Irving Blvd, Suite 900, Irving, TX 75061-6823 | 2006-08-30 |
| 1346258860 | Amelia Marie Williams | Dentist | 1901 W Irving Blvd, Irving, TX 75061-6823 | 2006-08-03 |
| 1417922766 | Molina Medical Management Group Ltd | General Practice | 1901 W Irving Blvd, Irving, TX 75061-6826 | 2006-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627569 | Shepcole, Inc. | General Practice | 1431 Greenway Dr Ste 8000, Irving, TX 75038-2448 | 2020-07-30 |
| 1730446832 | Healthworks Med Group of Texas Darlington P A | General Practice | 8701 Freeport Pkwy, Irving, TX 75063-2578 | 2012-04-13 |
| 1861657322 | Jaya Paramesh | General Practice | 10310 Donley Dr, Irving, TX 75063-5363 | 2008-07-24 |
| 1275508848 | Claudia Castano | General Practice | 2000 Esters Rd, Suite 120, Irving, TX 75061-9531 | 2006-02-17 |
| 1982679544 | Hector Oscar Molina | General Practice | 3301 Conflans Rd, 307, Irving, TX 75061-6355 | 2006-02-17 |
| 1538650072 | Mike Thanh Le | General Practice | 5605 N Macarthur Blvd Ste 400, Irving, TX 75038 | 2018-05-21 |
| 1275914640 | Sree-doc Urgent Care Management LLC | General Practice | 8787 N Macarthur Blvd, Suite No 120 B, Irving, TX 75063-5446 | 2015-06-11 |
| 1710374046 | Dsa108 LLC | General Practice | 108 San Gabriel Dr, Irving, TX 75039-3350 | 2015-04-24 |
| 1619373453 | Texas Physicians Specialized Medicine Pllc | General Practice | 3401 W Airport Fwy, Suite 101, Irving, TX 75062-5902 | 2014-11-06 |
| 1629335815 | Claudia Castano, Md, Pa | General Practice | 2000 Esters Rd, 120, Irving, TX 75061-9531 | 2012-04-12 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.