Molina Medical Management Group LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MOLINA MEDICAL MANAGEMENT GROUP LTD

Doing business as

Molina Medical Center

Practice address

1901 W Irving Blvd
Irving, TX 75061-6826

Phone

(972) 259-6900

Fax

(972) 254-5501

NPI assigned

Feb 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Brandi Michele Gibson Pahari

Title

Practice Administrator

Phone

(972) 259-6900

Specialties & licenses 1

Addresses

Other names 1

• Molina Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417922766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WEST IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616026",
            "telephone_number": "972-259-6900",
            "fax_number": "972-254-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616826",
            "telephone_number": "972-259-6900",
            "fax_number": "972-254-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA MEDICAL MANAGEMENT GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON PAHARI",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "972-259-6900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molina Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eaz Aldean Mohemd
• Mark Victor Mohnac, D.C.
• John A Mohnickey, PA
• Molina Medical Clinic Housecall Services LLC
• Molina Medical Housecall Services, P.a. (US Medical Housecall Services, P.a.)
• Molina Medical Management Group.LTD (Molina Medical Center)
• Molina Personal Care of Texas, Inc.
• Hector Oscar Molina, MD, MS
• Pablo Molina, MD
• Allison Monaghan

• General Practice Physician in Irving, TX
• Providers in Irving, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.