Healthcare Provider Details

I. General information

NPI: 1538165162
Provider Name (Legal Business Name): MIGDALIA MOLINA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 BRIGGS ST STE 120
SAN ANTONIO TX
78224-1297
US

IV. Provider business mailing address

88 BRIGGS ST STE 120
SAN ANTONIO TX
78224-1297
US

V. Phone/Fax

Practice location:
  • Phone: 210-761-9001
  • Fax: 800-852-8610
Mailing address:
  • Phone: 210-761-9001
  • Fax: 800-852-8610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberH3120
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: