MD SPECIALTY GROUP LLC; NPI #1558017962

Contact Information

MD SPECIALTY GROUP LLC

1140 EMPIRE CENTRAL DR STE 360
DALLAS, TX 75247-4304

Phone: 972-600-8438
Fax: 214-631-4702
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Brain Injury Medicine	2084P0301X	86	Physician/Neuropsychiatry
Clinical	103TC0700X	62	Psychologist, Clinical
Family Medicine	207Q00000X	08	Physician/Family Practice
Medical Toxicology	2083T0002X	84	Physician/Preventive Medicine
Occupational Therapist	225X00000X	67	Occupational Therapist in Private Practice
Pain Medicine	207LP2900X	05	Physician/Anesthesiology
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation
Physical Therapist	225100000X	65	Physical Therapist in Private Practice
Plastic Surgery	208200000X	02	Physician/General Surgery
Podiatrist	213E00000X	48	Podiatry
Professional	101YP2500X
Prosthetist	224P00000X	56	Individual Certified Prosthetist
Undersea and Hyperbaric Medicine	2083P0011X	84	Physician/Preventive Medicine

Indicates primary specialty

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NPI Profile & details for MD SPECIALTY GROUP LLC

NPI #	`1558017962`
LBN Legal business name	MD SPECIALTY GROUP LLC
Authorized official	HECTOR MOLINA - (MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/24/2022
Last updated	09/26/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MD SPECIALTY GROUP LLC

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NPI Profile & details for MD SPECIALTY GROUP LLC

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