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General NPI Number Information
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NPI Number | 1770681637
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Entity Type | Individual
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Provider Name | ITZEL SOLIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 27135 MESA VERDE DR
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City | MAGNOLIA
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State | TX
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Zip | 77354-4097
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Country | US
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Telephone | 281-252-9993
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Fax | 281-252-9997
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Provider Business Mailing Address
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Address Line | PO BOX 1235
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City | LA PORTE
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State | TX
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Zip | 77572-1235
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Country | US
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Telephone | 281-252-9993
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Fax | 281-252-9997
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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 | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | G1274
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License Number State | TX
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