Provider Demographics
| NPI: | 1205033107 |
|---|---|
| Name: | MOLL, ERIK (DC) |
| Entity Type: | Individual |
| Prefix: | DR |
| First Name: | ERIK |
| Middle Name: | |
| Last Name: | MOLL |
| Suffix: | |
| Gender: | M |
| Credentials: | DC |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | PO BOX 700688 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SAN ANTONIO |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78270-0688 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 210-318-3007 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 111 TOWER DR BLDG 1 |
| Practice Address - Street 2: | |
| Practice Address - City: | SAN ANTONIO |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 78232-3625 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 512-567-1731 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2007-07-03 |
| Last Update Date: | 2023-01-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TX | 11471 | 111NR0400X, 111NI0013X, 111N00000X |
| CA | 30608 | 111N00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 111N00000X | Chiropractic Providers | Chiropractor | |
| Yes | 111NR0400X | Chiropractic Providers | Chiropractor | Rehabilitation |
| No | 111NI0013X | Chiropractic Providers | Chiropractor | Independent Medical Examiner |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MD | 04078 | Other | CHIROPRACTIC LICENSE |
| NH | 1081 | Other | CHIROPRACTIC LICENSE |
| MO | 2021013230 | Other | CHIROPRACTIC LICENSE |
| NC | 5244 | Other | CHIROPRACTIC LICENSE |
| OH | DC-05014 | Other | CHIROPRACTIC LICENSE |
| MS | 001332 | Other | CHIROPRACTIC LICENSE |
| NY | 013492 | Other | CHIROPRACTIC LICENSE |
| MN | 6849 | Other | CHIROPRACTIC LICENSE |
| FL | CH13300 | Other | CHIROPRACTIC LICENSE |
| PA | DC011642 | Other | CHIROPRACTIC LICENSE |
| RI | DCP00689 | Other | CHIROPRACTIC LICENSE |
| KS | HCSF | Other | CHIROPRACTIC LICENSE |
| TX | 11471 | Other | CHIROPRACTIC LICENSE |
| LA | 1897 | Other | CHIROPRACTIC LICENSE |
| OK | 4360 | Other | CHIROPRACTIC LICENSE |
| NV | B01887 | Other | CHIROPRACTIC LICENSE |
| ID | CHIA-2044 | Other | CHIROPRACTIC LICENSE |
| ME | CR2712 | Other | CHIROPRACTIC LICENSE |
| VA | 0104-55709 | Other | CHIROPRACTIC LICENSE |
| WV | 1063 | Other | CHIROPRACTIC LICENSE |
| CT | 2224 | Other | CHIROPRACTIC LICENSE |
| UT | 6787397-1202 | Other | CHIROPRACTIC LICENSE |
| DC | CH030224 | Other | CHIROPRACTIC LICENSE |
| WA | CH61104774 | Other | CHIROPRACTIC LICENSE |
| DE | F1-0011046 | Other | CHIROPRACTIC LICENSE |
| ND | 1142 | Other | CHIROPRACTIC LICENSE |
| NE | 2065 | Other | CHIROPRACTIC LICENSE |
| MI | 2301011028 | Other | CHIROPRACTIC LICENSE |
| WI | 5606-12 | Other | CHIROPRACTIC LICENSE |
| GA | CHIR010490 | Other | CHIROPRACTIC LICENSE |
| NM | DC2234 | Other | CHIROPRACTIC LICENSE |
| VT | 006.0134152 | Other | CHIROPRACTIC LICENSE |
| IN | 08003227A | Other | CHIROPRACTIC LICENSE |
| IA | 107077 | Other | CHIROPRACTIC LICENSE |
| AR | 2669 | Other | CHIROPRACTIC LICENSE |
| CA | 30608 | Other | CHIROPRACTIC LICENSE |
| MA | 3734 | Other | CHIROPRACTIC LICENSE |
| AZ | 9000 | Other | CHIROPRACTIC LICENSE |
| CO | CHR.0008204 | Other | CHIROPRACTIC LICENSE |
| SD | 1406 | Other | CHIROPRACTIC LICENSE |
| KY | 265484 | Other | CHIROPRACTIC LICENSE |
| TN | 3282 | Other | CHIROPRACTIC LICENSE |
| SC | 4658 | Other | CHIROPRACTIC LICENSE |
| IN | TS0000557 | Other | CHIROPRACTIC LICENSE |
| KS | 01-06124 | Other | CHIROPRACTIC LICENSE |
| IL | 038013626 | Other | CHIROPRACTIC LICENSE |
| NJ | 38MC00776300 | Other | CHIROPRACTIC LICENSE |
| WY | 800 | Other | CHIROPRACTIC LICENSE |
| MT | CHI-CHI-LIC-6163 | Other | CHIROPRACTIC LICENSE |
| HI | DC-1481 | Other | CHIROPRACTIC LICENSE |
