MEDICARE: EMILY MOLINA M.D.

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	207R00000X	Internal Medicine Physician	V1197	TX
2	207RR0500X	Rheumatology Physician	V1197	TX

General Provider Information

NPI Number	:	1457918096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MOLINA M.D.

Provider Business Mailing Address
First Line	:	7718 BROADWAY FL 1
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-3243
Country	:	US
Telephone Number	:	210-320-1166
Fax Number	:	844-918-0358

Provider Business Practice Location Address
First Line	:	7718 BROADWAY FL 1
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-3243
Country	:	US
Telephone Number	:	210-320-1166
Fax Number	:	844-918-0358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2019
Last Update Date	:	02/03/2026

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