Individual
DR. MICHAEL EDWARD MOLLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1023 N MOUND ST STE B, NACOGDOCHES, TX 75961-4453
(936) 569-2590
(936) 569-2592
Mailing address
PO BOX 94670, OKLAHOMA CITY, OK 73143-4670
(405) 682-3303
(405) 384-6793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J3164
TX
207RG0100X
Gastroenterology Physician
Primary
J3164
TX
Other
Enumeration date
05/05/2006
Last updated
12/12/2017
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