Provider Demographics
NPI:1669048039
Name:MOLLON, RHODA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:RHODA
Middle Name:
Last Name:MOLLON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:RHODA
Other - Middle Name:
Other - Last Name:MOLLON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2912A MANGUM RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-7408
Mailing Address - Country:US
Mailing Address - Phone:832-815-3040
Mailing Address - Fax:
Practice Address - Street 1:24003 ADOBE RIDGE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2933
Practice Address - Country:US
Practice Address - Phone:832-815-3040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1038316363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily