MEDICARE: TAMARA SOLOMON M.S.

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	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1386798544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA SOLOMON M.S.

Provider Business Mailing Address
First Line	:	4407 DESERT CLIFF CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-1048
Country	:	US
Telephone Number	:	713-302-6106
Fax Number	:

Provider Business Practice Location Address
First Line	:	18400 KATY FWY STE 540
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-1286
Country	:	US
Telephone Number	:	832-828-3961
Fax Number	:	832-825-8967

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	01/14/2013

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Directions to “ TAMARA SOLOMON M.S.” Practice Location

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