Individual ProviderMolly FitzpatrickAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address4502 Medical Dr, San Antonio, TX 78229-4402(210) 567-4500PECOS EnrollmentBased on the most recent information from CMS, provider Molly Fitzpatrick is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194866939Provider TypeIndividualFull NameFitzpatrick, MollyTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date2/12/2007Last Updated11/23/2021Contact InformationPractice LocationPractice Address4502 Medical Dr, San Antonio, TX 78229-4402Phone(210) 567-4500Fax(210) 568-0083Mailing LocationMailing Address4502 Medical Dr, San Antonio, TX 78229-4402Phone(210) 567-4500Fax(210) 567-0083Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseS3166TexasCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseME135388FloridaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID428495201DescriptionMedicaidIssuerUnlistedTexasID428495202DescriptionOtherIssuerCSHCNTexasID024588800DescriptionMedicaidIssuerUnlistedFlorida