Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | Q5042 | TX |
NPI | 1073876793 |
---|---|
Provider Name | Dr. Tiffany Leah Molina |
First Address | San Antonio, TX 78229-3901 |
Second Address | The Woodlands, TX 77380 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2012 |
Last Update Date | 27/08/2018 |