Provider Demographics
NPI:1134245533
Name:MOLINA, HERLINDA
Entity type:Individual
Prefix:
First Name:HERLINDA
Middle Name:
Last Name:MOLINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HERLINDA
Other - Middle Name:
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7302 LAKE CHARLES DR.
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-6628
Mailing Address - Country:US
Mailing Address - Phone:512-280-5742
Mailing Address - Fax:512-291-0844
Practice Address - Street 1:7302 LAKE CHARLES DR.
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-6628
Practice Address - Country:US
Practice Address - Phone:512-280-5742
Practice Address - Fax:512-291-0844
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant