| Dr Edgar L Molina, MD | |
|
605 Old Austin Hwy, Bastrop, TX 78602-5034 | |
| (877) 800-5722 | |
| Not Available |
| Full Name | Dr Edgar L Molina |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 605 Old Austin Hwy, Bastrop, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629011861 | NPI | - | NPPES |
| 101334404 | Medicaid | TX | |
| 101334405 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | K1570 (Texas) | Primary |
| Entity Name | Lone Star Circle Of Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891746970 PECOS PAC ID: 5193709392 Enrollment ID: O20040622000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edgar L Molina, MD 2423 Williams Dr Ste 107, Georgetown, TX 78628-3269 Ph: (877) 800-5722 | Dr Edgar L Molina, MD 605 Old Austin Hwy, Bastrop, TX 78602-5034 Ph: (877) 800-5722 |
Dr. Christine Ann Trevino, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 512-308-6894 | |
Larry C Herrera, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1602 Hill St, Bastrop, TX 78602 Phone: 512-772-4887 Fax: 877-583-4093 | |
Dr. Melinda Holliday, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 622 W State Highway 71 Ste 102, Bastrop, TX 78602 Phone: 512-308-4311 Fax: 512-406-7327 | |
Dr. Mary Jane Wray, M.D., PHD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1602 Hill St, Bastrop, TX 78602 Phone: 512-772-4887 Fax: 830-875-6398 | |
Justin Gor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 622 W State Highway 71 Ste 102, Bastrop, TX 78602 Phone: 512-308-4311 Fax: 512-406-7397 |