Basic Information
Provider Information
NPI: 1568417392
EntityType: 2
ReplacementNPI:  
OrganizationName: SOLARA HOSPITAL MCALLEN LP
LastName:  
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Mailing Information
Address1: 2200 ROSS AVE
Address2: STE 5400
City: DALLAS
State: TX
PostalCode: 752017918
CountryCode: US
TelephoneNumber: 4696216700
FaxNumber: 4696216672
Practice Location
Address1: 301 W EXPWY 83
Address2: 8TH FLOOR
City: MCALLEN
State: TX
PostalCode: 785033045
CountryCode: US
TelephoneNumber: 9566324880
FaxNumber: 9566324891
Other Information
ProviderEnumerationDate: 05/23/2006
LastUpdateDate: 09/19/2013
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AuthorizedOfficialLastName: SCHULTZ
AuthorizedOfficialFirstName: KURT
AuthorizedOfficialMiddleName: J
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 4696216700
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282E00000X008163TXY HospitalsLong Term Care Hospital 

No ID Information.


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