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General NPI Number Information
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NPI Number | 1972623346
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Entity Type | Individual
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Provider Name | NANCY SOLL SHOSID M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12880 HILLCREST RD STE 104
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City | DALLAS
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State | TX
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Zip | 75230-6557
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Country | US
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Telephone | 972-387-4767
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Fax | 972-490-3567
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Provider Business Mailing Address
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Address Line | 12880 HILLCREST RD STE 104
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City | DALLAS
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State | TX
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Zip | 75230-6557
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Country | US
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Telephone | 972-387-4767
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Fax | 972-490-3567
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H6603
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License Number State | TX
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