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NPI Code Detail

MEDICARE: MIGUEL ANTONIO SOLIS LCSW

MEDICARE: MIGUEL ANTONIO SOLIS LCSW
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
11041C0700XClinical Social WorkerQ1-0001765DE

General Provider Information

NPI Number : 1497285753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL ANTONIO SOLIS LCSW
Provider Business Mailing Address
First Line : 8818 OLMSTEAD PARK
Second Line :
City : CONVERSE
State : TX
Zip : 78109-3744
Country : US
Telephone Number : 956-605-9586
Fax Number :
Provider Business Practice Location Address
First Line : 4461 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-5537
Country : US
Telephone Number : 702-918-3996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2017
Last Update Date : 02/07/2023

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