Healthcare Provider Details

I. General information

NPI: 1922591007
Provider Name (Legal Business Name): ERICA SOLIS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2018
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 PINELAND DR
DALLAS TX
75231-5300
US

IV. Provider business mailing address

5750 PINELAND DR
DALLAS TX
75231-5300
US

V. Phone/Fax

Practice location:
  • Phone: 214-221-0855
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberT1220
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: