Joaquin Molina
Individual provider Active NPI Ambulatory Care Registered Nurse · Harljingen, TN
NPI 1114022902 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114022902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- 589542 (TX)
- Practice address
- 1629 Treasure Hills Blvd
Suite B-5
Harljingen, TN 78550-8907 - Phone
- (956) 366-4500
- Fax
- (956) 366-4501
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589542 | TX | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 589542 | TX | Yes |
Addresses
Primary practice location
1629 Treasure Hills Blvd
Suite B-5
Harljingen, TN 78550-8907
Mailing address
1629 Treasure Hills Blvd
Suite B-5
Harljingen, TN 78550-8907
Phone (956) 366-4500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 589542 | Other | TX | RN |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.