=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588594493
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ZAIRA SOLIS RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2026
-----------------------------------------------------
Last Update Date | 05/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5560 MESA SPRINGS DR
-----------------------------------------------------
City | FORT WORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76123-2120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-292-4600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 VISTA WAY
-----------------------------------------------------
City | BENBROOK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76126-3245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-730-1546
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 1108004
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------