Healthcare Provider Details

I. General information

NPI: 1376473355
Provider Name (Legal Business Name): JESUS ALBERTO SOLIS JR. R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2916 MI RANCHITA
RIO GRANDE CITY TX
78582-6511
US

IV. Provider business mailing address

2916 MI RANCHITA
RIO GRANDE CITY TX
78582-6511
US

V. Phone/Fax

Practice location:
  • Phone: 956-849-1811
  • Fax:
Mailing address:
  • Phone: 956-849-1811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0207X
TaxonomyCompounded Sterile Preparations Pharmacist
License Number36856
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: