Provider Demographics
NPI:1679057079
Name:ROY, MOLLY K (NP)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:K
Last Name:ROY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6313 PRESTON RD STE 400
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2716
Mailing Address - Country:US
Mailing Address - Phone:972-473-7300
Mailing Address - Fax:972-473-7750
Practice Address - Street 1:6313 PRESTON RD STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2716
Practice Address - Country:US
Practice Address - Phone:972-473-7300
Practice Address - Fax:972-473-7750
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137156363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily