Individual
DR. CLIFTON MOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 WORTH ST, STE 100, DALLAS, TX 75246-2003
(214) 370-1500
Mailing address
7733 LOUIS PASTEUR DR APT 418, SAN ANTONIO, TX 78229-3489
(210) 249-1386
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
S7731
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427473001
—
TX
Enumeration date
04/01/2019
Last updated
09/20/2021
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