Basic Information
| Provider Information | |||||||||
| NPI: | 1982020863 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SOLIS MEDICAL SERVICES PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2023 W MCDERMOTT DR | ||||||||
| Address2: | STE 320 | ||||||||
| City: | ALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750134676 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9038921999 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 W LAMBERTH RD | ||||||||
| Address2: | STE A | ||||||||
| City: | SHERMAN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750922671 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9038921999 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2014 | ||||||||
| LastUpdateDate: | 07/18/2014 | ||||||||
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| AuthorizedOfficialLastName: | VATTAM | ||||||||
| AuthorizedOfficialFirstName: | SREENADHA | ||||||||
| AuthorizedOfficialMiddleName: | REDDY | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9038921999 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | N0746 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.