| Rodolfo Molina, MD | |
|
2485 E Southlake Blvd Ste 100, Southlake, TX 76092-6687 | |
| (817) 873-0595 | |
| Not Available |
| Full Name | Rodolfo Molina |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2485 E Southlake Blvd Ste 100, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083619605 | NPI | - | NPPES |
| 12190303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | J2895 (Texas) | Primary |
| Entity Name | Molina Psychiatric Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831756303 PECOS PAC ID: 4587991625 Enrollment ID: O20190812002579 |
| Mailing Address | Practice Location Address |
|---|---|
| Rodolfo Molina, MD 2485 E Southlake Blvd Ste 100, Southlake, TX 76092-6687 Ph: (817) 873-0595 | Rodolfo Molina, MD 2485 E Southlake Blvd Ste 100, Southlake, TX 76092-6687 Ph: (817) 873-0595 |
Dr. Mahta Ostadian, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 541 Silicon Dr Ste 102, Southlake, TX 76092 Phone: 817-539-6819 Fax: 817-539-6870 | |
Dr. Nishant Rajesh Patel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 541 Silicon Dr Ste 102, Southlake, TX 76092 Phone: 817-539-6819 | |
Dr. Joe Boyd Bates, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 Corporate Cir Ste 7, Southlake, TX 76092 Phone: 417-761-5006 Fax: 417-761-5065 | |
Viktoria Zatkalik, NP-C Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 109 River Oaks Dr Ste 150, Southlake, TX 76092 Phone: 817-379-9922 Fax: 817-379-9998 | |
Dr. Lisa C. Diamond, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2131 Kirkwood Blvd Ste 100, Southlake, TX 76092 Phone: 817-210-4856 | |
Dr. James Francesconi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 109 River Oaks Dr Ste 150, Southlake, TX 76092 Phone: 817-379-9922 Fax: 817-379-9998 |