Individual
DANIEL MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283
Mailing address
1925 WARRIOR WAY, ADA, OK 74820-3491
(580) 421-4170
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119380A
—
OK
01
—
M3329
LICENSE
TX
Enumeration date
06/18/2007
Last updated
07/10/2024
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