We received the following email Juliana.Mata@molinahealthcare.com:  Sub: Molina Contract Packet - Coastal Bend Urgent Care LLC DBA Beeville Medical Clinic  "Good afternoon,  Happy Tuesday!!  Hope you are doing well.  Thank you for your assistance filling out forms.  Could you please assist with correction needed in claim sample?  Box 33 we are missing pay to name  could you please update and submit back to me?  For secondary location, could you please fill out a credentialing application?  Please see attached.  Once information is received back, we will be able to continue  Juliana Mata | Associate Specialist Provider Contracts Molina Healthcare Of Texas Molina Healthcare Of Texas, Inc Juliana.Mata@Molinahealthcare.com 1660 Westridge Circle N. Irving, TX 75038 '  (888) 562-5442 ext 200249"  Responded with the requested information:  "Hello,   Please find the requested documents attached. Do let me know if anything else is needed.  Thank you. "