MEDICARE: PICACHE -MOLINA WWJD L.L.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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1811380280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PICACHE -MOLINA WWJD L.L.C.

Provider Business Mailing Address
First Line	:	2016 RED ROCK DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-3258
Country	:	US
Telephone Number	:	214-592-0840
Fax Number	:	214-592-0842

Provider Business Practice Location Address
First Line	:	1836 W VIRGINIA ST
Second Line	:	SUITE 104-A
City	:	MCKINNEY
State	:	TX
Zip	:	75069-7865
Country	:	US
Telephone Number	:	214-592-0840
Fax Number	:	214-592-0842

Authorized Official
Title or Position	:	MEMBER
Name	:	MR. RAMONCITO MARIANO MOLINA
Credential	:
Telephone Number	:	972-955-8974

Provider Enumeration Date	:	03/10/2015
Last Update Date	:	03/10/2015

Similar Medicare Providers

1770792319 — MOLSKI CHIROPRACTIC
Practice Location Address:

1824 W VIRGINIA ST
MCKINNEY, TX
75069-7865

Practice Phone: 972-542-3300
Practice Fax: 972-542-4311

1538367404 — SHANE T COWAN D.C.
Practice Location Address:

1824 W VIRGINIA ST
MCKINNEY, TX
75069-7865

Practice Phone: 214-491-4944
Practice Fax: 214-491-4945

1629248075 — SHANE COWAN ENTERPRISES, LLC
Practice Location Address:

1824 W VIRGINIA ST
MCKINNEY, TX
75069-7865

Practice Phone: 214-491-4944
Practice Fax: 214-491-4945

1043142789 — KIMBERLY COLE LPC, LCDC
Practice Location Address:

1515 HERITAGE DR
MCKINNEY, TX
75069-3256

Practice Phone: 469-631-2896
Practice Fax:

1619807054 — RACHEL MARTINEZ
Practice Location Address:

4601 MEDICAL CENTER DR STE A
MCKINNEY, TX
75069-1771

Practice Phone: 469-850-2909
Practice Fax:

1851221220 — JENNIE LAO
Practice Location Address:

1801 PEARSON AVE
MCKINNEY, TX
75069-3464

Practice Phone: 972-562-8880
Practice Fax:

Directions to “PICACHE -MOLINA WWJD L.L.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.