Healthcare Provider Details

I. General information

NPI: 1821786419
Provider Name (Legal Business Name): FELIPE SOLARES MONTES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 W. WHEATLAND ROAD MCMC FAMILY MEDICINE RESIDENCY PROGRAM, FAMILY PRACTICE
DALLAS TX
75237-3460
US

IV. Provider business mailing address

3500 W. WHEATLAND ROAD MCMC FAMILY MEDICINE RESIDENCY PROGRAM, FAMILY PRACTICE
DALLAS TX
75237-3460
US

V. Phone/Fax

Practice location:
  • Phone: 214-947-5420
  • Fax: 214-947-5425
Mailing address:
  • Phone: 214-947-5420
  • Fax: 214-947-5425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberBP10082918
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: