Healthcare Provider Details

I. General information

NPI: 1982723532
Provider Name (Legal Business Name): ALAN B SOLOMAY SA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 01/06/2022
Certification Date: 01/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4803 HACKAMORE BROOK CT
KATY TX
77449-5377
US

IV. Provider business mailing address

PO BOX 19155
SUGAR LAND TX
77496-9155
US

V. Phone/Fax

Practice location:
  • Phone: 832-512-4011
  • Fax:
Mailing address:
  • Phone: 281-969-7137
  • Fax: 281-969-8882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License NumberSA00342
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number99-216
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberSA00342
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: