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NPI Code Detail

MEDICARE: MR. JOHNNY SOLIS JR. RN

MEDICARE: MR. JOHNNY SOLIS JR. RN
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
1163W00000XRegistered Nurse886520TX

General Provider Information

NPI Number : 1225961444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHNNY SOLIS JR. RN
Provider Business Mailing Address
First Line : 10206 COLD BACK CT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-2740
Country : US
Telephone Number : 210-693-6392
Fax Number :
Provider Business Practice Location Address
First Line : 7400 MERTON MINTER ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4404
Country : US
Telephone Number : 210-617-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2026
Last Update Date : 06/08/2026

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