Basic Information
| Provider Information | |||||||||
| NPI: | 1811081490 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SOLARES | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | ESTHER | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3110 LAMESA DRIVE | ||||||||
| Address2: | |||||||||
| City: | GARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722783511 | ||||||||
| FaxNumber: | 9722788386 | ||||||||
| Practice Location | |||||||||
| Address1: | 2636 W WALNUT ST | ||||||||
| Address2: | |||||||||
| City: | GARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724875800 | ||||||||
| FaxNumber: | 9724879680 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 08/25/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PA02463 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.