Healthcare Provider Details

I. General information

NPI: 1932115292
Provider Name (Legal Business Name): STEVEN K SOLOMON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11111 RESEARCH BLVD, #475
AUSTIN TX
78759-5283
US

IV. Provider business mailing address

PO BOX 26726
AUSTIN TX
78755-0726
US

V. Phone/Fax

Practice location:
  • Phone: 512-338-8181
  • Fax: 512-338-8366
Mailing address:
  • Phone: 512-407-8686
  • Fax: 512-421-4489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG8429
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: