MEDICARE: HOWARD D SOLOMON MD PA

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	208800000X	Urology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DC0028	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0068LT	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1225118706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD D SOLOMON MD PA

Provider Business Mailing Address
First Line	:	1255 ASHBY ST
Second Line	:
City	:	SEGUIN
State	:	TX
Zip	:	78155-5118
Country	:	US
Telephone Number	:	830-379-3046
Fax Number	:	830-379-8552

Provider Business Practice Location Address
First Line	:	1255 ASHBY ST
Second Line	:
City	:	SEGUIN
State	:	TX
Zip	:	78155-5118
Country	:	US
Telephone Number	:	830-379-3046
Fax Number	:	830-379-8552

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HOWARD DAVID SOLOMON
Credential	:	MD
Telephone Number	:	830-379-3046

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	05/11/2010

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Directions to “HOWARD D SOLOMON MD PA ” Practice Location

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