MEDICARE: SOLEO HEALTH INC

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	251E00000X	Home Health Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy
4	3336C0003X	Community/Retail Pharmacy
5	3336S0011X	Specialty Pharmacy
6	3336H0001X	Home Infusion Therapy Pharmacy	31334	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2168571	OTHER		PK

General Provider Information

NPI Number	:	1275065260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLEO HEALTH INC

Provider Business Mailing Address
First Line	:	2801 NETWORK BLVD STE 505
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-1895
Country	:	US
Telephone Number	:	603-324-2978
Fax Number	:	603-718-3824

Provider Business Practice Location Address
First Line	:	2912 W 6TH ST
Second Line	:	SUITE 150
City	:	FORT WORTH
State	:	TX
Zip	:	76107-2213
Country	:	US
Telephone Number	:	817-916-1206
Fax Number	:	817-381-4419

Authorized Official
Title or Position	:	CEO
Name	:	ANDREW C WALK
Credential	:
Telephone Number	:	833-765-3648

Provider Enumeration Date	:	03/30/2017
Last Update Date	:	07/10/2023

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Directions to “SOLEO HEALTH INC ” Practice Location

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