Active NPI
Molina Medical Group PLLC
- Family Medicine Physician
- Rosenberg, TX
National Provider Identifier
1801583323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOLINA MEDICAL GROUP PLLC
- Practice address
- 2201 1St St Ste 6
Rosenberg, TX 77471-5019 - Phone
- (281) 817-6667
- NPI assigned
- Apr 24, 2023
- Last updated
- Apr 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerlys Suarez Lopez
- Title
- FNP
- Phone
- (832) 996-6911
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
2201 1St St Ste 6
Rosenberg, TX 77471-5019
Mailing address
3026 Coachmaker TRL
Rosenberg, TX 77471-1530
Phone (281) 817-6667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
408 E Camp Wisdom Rd
#B
Duncanville, TX 75116
Phone (281) 817-6667
2201 1st St
Ste 6
Rosenberg, TX 77471
Phone (281) 817-6667
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Katy, TX
- NPI 1154917896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682380800000",
"number": "1801583323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3026 COACHMAKER TRL",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774711530",
"telephone_number": "281-817-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 1ST ST STE 6",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774715019",
"telephone_number": "281-817-6667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOLINA MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "JERLYS",
"authorized_official_middle_name": "SUAREZ",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "832-996-6911"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.