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NPI Code Detail

MEDICARE: WILLIAM SOLOMON RDCS, RVS, BS

MEDICARE:   WILLIAM  SOLOMON  RDCS, RVS, BS
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
1246XC2903XVascular Specialist/Technologist Cardiovascular106581

General Provider Information

NPI Number : 1356764146
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM SOLOMON RDCS, RVS, BS
Provider Business Mailing Address
First Line : 6937 LOMA VISTA DR
Second Line :
City : FT WORTH
State : TX
Zip : 76133-6428
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6937 LOMA VISTA DR
Second Line :
City : FT WORTH
State : TX
Zip : 76133-6428
Country : US
Telephone Number : 682-553-1411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2014
Last Update Date : 01/29/2014

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Directions to “ WILLIAM SOLOMON RDCS, RVS, BS” Practice Location

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