Healthcare Provider Details

I. General information

NPI: 1386151272
Provider Name (Legal Business Name): HILDA L SOLIS, RN MSN APN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 04/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 S JACKSON RD
PHARR TX
78577-6616
US

IV. Provider business mailing address

PO BOX 3302
MCALLEN TX
78502-3302
US

V. Phone/Fax

Practice location:
  • Phone: 956-618-4648
  • Fax: 956-686-4377
Mailing address:
  • Phone: 956-571-7500
  • Fax: 956-800-4064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAP105345
License Number StateTX

VIII. Authorized Official

Name: HILDA L SOLIS
Title or Position: OWNER
Credential:
Phone: 956-618-4648