Healthcare Provider Details

I. General information

NPI: 1184530651
Provider Name (Legal Business Name): MATTHEW WILLIAM SOLIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 COLLEGE ST
BELTON TX
76513-2578
US

IV. Provider business mailing address

7406 BAJA PT
SAN ANTONIO TX
78242-2478
US

V. Phone/Fax

Practice location:
  • Phone: 210-324-2939
  • Fax:
Mailing address:
  • Phone: 210-324-2939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: