Basic Information
Provider Information
NPI: 1801016480
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOLOMON
FirstName: CURTIS
MiddleName: SCOTT
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7800 SHOAL CREEK BLVD
Address2: SUITE 205N
City: AUSTIN
State: TX
PostalCode: 787571098
CountryCode: US
TelephoneNumber: 5122064341
FaxNumber:  
Practice Location
Address1: 1330 WONDER WORLD DR
Address2: SUITE B108
City: SAN MARCOS
State: TX
PostalCode: 786667566
CountryCode: US
TelephoneNumber: 5123965603
FaxNumber: 5123965623
Other Information
ProviderEnumerationDate: 04/26/2007
LastUpdateDate: 07/22/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X946669KSN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X2012011863MON Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011XQ4526TXY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RC0000XQ4526TXN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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