Individual provider Active NPI

Pablo Molina, MD

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1447294657
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G2610 Issued in TX
Practice address
1525 W Walnut Hill LN
Suite 100
Irving, TX 75038-3705
Phone
(214) 596-2421
Fax
(877) 782-9128
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G2610 TX Primary

Addresses

Primary practice location

1525 W Walnut Hill LN
Suite 100
Irving, TX 75038-3705

Mailing address

1201 Cameron LN
Allen, TX 75002-4462
Phone (972) 501-5600

Other identifiers 1

IdentifierTypeStateIssuer
136713806MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G2610TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Austin Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Wyatt Clinic, P.a. Family Medicine Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Pawhuska IHS Pharmacy Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1447294657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CAMERON LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024462",
            "telephone_number": "972-501-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W WALNUT HILL LN",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383705",
            "telephone_number": "214-596-2421",
            "fax_number": "877-782-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G2610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136713806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.