| Doctor Name: | MANUEL MOLINA |
| NPI Number: | 1023462769 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 71023 |
| Business Practice Address: | 24891 Highway 6 Hempstead, TX - 774457747 |
| Business Phone Number: | 8008698552 |
| Business Fax Number: | 7138698564 |
| Mailing Address: | 24891 Highway 6, HEMPSTEAD |
| State: | TX |
| Postal Code: | 774457747 |
| Phone Number: | 8008698552 |
| Fax Number: | 7138698564 |
| NPI Enumeration Date: | 04/19/2016 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 71023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |