Provider Demographics
NPI:1013550268
Name:MOLINA, TRICIA R
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:R
Last Name:MOLINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:R
Other - Last Name:CURIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5151 FLYNN PKWY STE 115
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4318
Mailing Address - Country:US
Mailing Address - Phone:361-452-8360
Mailing Address - Fax:361-452-8359
Practice Address - Street 1:5151 FLYNN PKWY STE 115
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4318
Practice Address - Country:US
Practice Address - Phone:361-452-8360
Practice Address - Fax:361-452-8359
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor