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NPI 1245723964

NPI 1245723964 : MELISSA SAUCEDO SOLIS MD : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1245723964
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA SAUCEDO SOLIS MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2018
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    Last Update Date     |    10/14/2025
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Provider Practice Location Address
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    Address Line         |    1033 ADA ST 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78223-1703
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    Country              |    US
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    Telephone            |    201-644-7951
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    903 W MARTIN ST # MS 49-2 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78207-0903
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    Country              |    US
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    Telephone            |    201-358-0572
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    Fax                  |    210-358-5940
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    0067474
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    T0133
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    License Number State |    TX
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