Healthcare Provider Details

I. General information

NPI: 1154674828
Provider Name (Legal Business Name): MRS. VIVIANA A. MOLNAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2012
Last Update Date: 02/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 LAKE WOODLANDS DR STE F
THE WOODLANDS TX
77382-2566
US

IV. Provider business mailing address

6767 LAKE WOODLANDS DR STE F
THE WOODLANDS TX
77382-2566
US

V. Phone/Fax

Practice location:
  • Phone: 281-364-1122
  • Fax: 281-210-2446
Mailing address:
  • Phone: 281-364-1122
  • Fax: 281-210-2446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number1122349
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: