Provider Demographics
NPI:1427194414
Name:PATRICK F. MOLLIGAN M.D. P.A.
Entity type:Organization
Organization Name:PATRICK F. MOLLIGAN M.D. P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:F
Authorized Official - Last Name:MOLLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-795-7762
Mailing Address - Street 1:4606 67TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-5035
Mailing Address - Country:US
Mailing Address - Phone:806-795-7762
Mailing Address - Fax:806-796-7168
Practice Address - Street 1:4606 67TH ST STE 100
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-5035
Practice Address - Country:US
Practice Address - Phone:806-795-2762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0061HTOtherBCBS GROUP
TX119703100OtherFIRST CARE
TX1264939Medicaid
TX1264939Medicaid
TX00865VMedicare PIN
TXB65184Medicare UPIN