Healthcare Provider Details

I. General information

NPI: 1427194414
Provider Name (Legal Business Name): PATRICK F. MOLLIGAN M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4606 67TH ST STE 100
LUBBOCK TX
79414-5035
US

IV. Provider business mailing address

4606 67TH ST STE 100
LUBBOCK TX
79414-5035
US

V. Phone/Fax

Practice location:
  • Phone: 806-795-2762
  • Fax:
Mailing address:
  • Phone: 806-795-7762
  • Fax: 806-796-7168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICK F MOLLIGAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 806-795-7762