DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MOLLIE C FORDHAM PA-C

MEDICARE: MOLLIE C FORDHAM PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1538096656
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLIE C FORDHAM PA-C
Provider Business Mailing Address
First Line : 171 SOUTHERLAND DR
Second Line :
City : LAUREL SPRINGS
State : NC
Zip : 28644-9178
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6621 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2358
Country : US
Telephone Number : 832-824-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

Similar Medicare Providers

1689171811 — SARAHJEAN KEROLLE M.D.
Practice Location Address:
6621 FANNIN ST STE A210
HOUSTON, TX
77030-2358
Practice Phone: 832-824-1000
Practice Fax:
1457346710 — JOSEPH LINDSAY EDMONDS JR. MD
Practice Location Address:
6621 FANNIN ST
HOUSTON, TX
77030-2358
Practice Phone: 832-824-1000
Practice Fax:
1578558250 — CHADI A CALARGE MD
Practice Location Address:
6621 FANNIN ST
HOUSTON, TX
77030-2358
Practice Phone: 832-824-1000
Practice Fax:
1902896855 — KELLI K WHITAKER PA
Practice Location Address:
6621 FANNIN ST
HOUSTON, TX
77030-2358
Practice Phone: 225-939-4437
Practice Fax:
1043288988 — PATRICIA FUYUKI CAMPBELL MD
Practice Location Address:
6621 FANNIN ST
HOUSTON, TX
77030-2358
Practice Phone: 832-824-1000
Practice Fax:
1417911793 — EMAD B MOSSAD M.D.
Practice Location Address:
6621 FANNIN ST
HOUSTON, TX
77030-2358
Practice Phone: 832-824-1000
Practice Fax:
1922046457 — DR. ANNA ILLNER M.D.
Practice Location Address:
6621 FANNIN ST
HOUSTON, TX
77030-2358
Practice Phone: 832-824-1000
Practice Fax:

Directions to “ MOLLIE C FORDHAM PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.