Provider Demographics
NPI:1639435720
Name:AUSTIN, MOLLY BURNS (MD)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:BURNS
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MOLLY
Other - Middle Name:VIRGINIA
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9301 N CENTRAL EXPY STE 470
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-0803
Mailing Address - Country:US
Mailing Address - Phone:214-506-1115
Mailing Address - Fax:214-435-6688
Practice Address - Street 1:9301 N CENTRAL EXPY STE 470
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0803
Practice Address - Country:US
Practice Address - Phone:214-506-1115
Practice Address - Fax:214-435-6688
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1791207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology