Healthcare Provider Details

I. General information

NPI: 1174485668
Provider Name (Legal Business Name): KATHRYN ALYSSA SOLIS FNP-BC, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21038 US HIGHWAY 281 N STE 100
SAN ANTONIO TX
78258-7556
US

IV. Provider business mailing address

5810 UTSA BLVD APT 4414
SAN ANTONIO TX
78249-4096
US

V. Phone/Fax

Practice location:
  • Phone: 210-874-5260
  • Fax:
Mailing address:
  • Phone: 210-995-9032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1212933
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: