Individual
JOHN ROBERT MOLLAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N TOM GREEN AVE, ODESSA, TX 79761-4567
(432) 334-7888
(432) 334-9949
Mailing address
601 N TOM GREEN AVE, ODESSA, TX 79761-4567
(432) 334-7888
(432) 334-9949
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J9219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T69H
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/09/2005
Last updated
07/09/2007
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