Individual
MOLLY KATHRYN AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1205 S WHITE CHAPEL BLVD STE 285, SOUTHLAKE, TX 76092-9331
(817) 527-1099
Mailing address
504 POTOMAC PL, SOUTHLAKE, TX 76092-9317
(443) 392-5561
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R2809
TX
Other
Enumeration date
01/30/2007
Last updated
01/08/2019
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