MEDICARE: DR. GARY RICHARD SOLERA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	8923	TX

General Provider Information

NPI Number	:	1033207980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY RICHARD SOLERA D.C.

Provider Business Mailing Address
First Line	:	2223 GREEN GARDEN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-4770
Country	:	US
Telephone Number	:	281-249-8492
Fax Number	:	281-293-8067

Provider Business Practice Location Address
First Line	:	11999 KATY FWY STE 225
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-1605
Country	:	US
Telephone Number	:	281-293-0580
Fax Number	:	281-293-8067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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