Provider Demographics
NPI:1982679544
Name:MOLINA, HECTOR OSCAR (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:OSCAR
Last Name:MOLINA
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:1140 EMPIRE CENTRAL DR STE 360
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4304
Mailing Address - Country:US
Mailing Address - Phone:469-455-7959
Mailing Address - Fax:214-242-1042
Practice Address - Street 1:1627 W 5TH ST
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-2511
Practice Address - Country:US
Practice Address - Phone:469-455-7959
Practice Address - Fax:214-242-1042
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2022-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK2755208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135839206Medicaid
TX8102M1Medicare PIN
TXG61992Medicare UPIN