Individual
PAUL MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
100 E FERGUSON ST, SUITE 1204, TYLER, TX 75702-5759
(903) 509-2040
Mailing address
2535 LONE STAR DR, DALLAS, TX 75212-6313
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1210989
TX
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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