Organization
MOLINA PATHWAYS OF OHIO LLC
Active
Parent organization
MOLINA PATHWAYS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOLINA PATHWAYS LLC
Authorized official
CRAIG BASS (PRESIDENT OF PATHWAYS)
(972) 536-7209
Entity
Organization
Contact information
Practice address
50 W BROAD ST, COLUMBUS, OH 43215-3301
(972) 536-7209
Mailing address
5605 N MACARTHUR BLVD STE 400, IRVING, TX 75038-2693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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