MEDICARE: MS. MELISSA SOLIS 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	363A00000X	Physician Assistant	PA05479	TX

General Provider Information

NPI Number	:	1285814277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA SOLIS PA

Provider Business Mailing Address
First Line	:	903 W MARTIN ST # MS 49-2
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-0903
Country	:	US
Telephone Number	:	201-358-0572
Fax Number	:	210-358-5940

Provider Business Practice Location Address
First Line	:	4702 E HOUSTON ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78220-1720
Country	:	US
Telephone Number	:	210-644-2050
Fax Number	:	210-702-6400

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

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	11/15/2024

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