MEDICARE: PATRICK F. MOLLIGAN M.D. P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0061HT	OTHER	TX	BCBS GROUP
2	119703100	OTHER	TX	FIRST CARE

General Provider Information

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

Provider Business Mailing Address
First Line	:	4606 67TH ST STE 100
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79414-5035
Country	:	US
Telephone Number	:	806-795-7762
Fax Number	:	806-796-7168

Provider Business Practice Location Address
First Line	:	4606 67TH ST STE 100
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79414-5035
Country	:	US
Telephone Number	:	806-795-2762
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PATRICK F MOLLIGAN
Credential	:	M.D.
Telephone Number	:	806-795-7762

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/27/2024

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