MEDICARE: MRS. WANDA SOLIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	L3135	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	60121620	OTHER	TX	DPS

General Provider Information

NPI Number	:	1881681211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WANDA SOLIS MD

Provider Business Mailing Address
First Line	:	800 W EMBERCREST DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-6064
Country	:	US
Telephone Number	:	214-331-0567
Fax Number	:	214-377-7779

Provider Business Practice Location Address
First Line	:	4201 INTERWAY PL
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5668
Country	:	US
Telephone Number	:	817-652-8994
Fax Number	:	817-652-3011

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	03/07/2023

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