MEDICARE: VALERIA ELIZABETH SOLIS OD

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	152W00000X	Optometrist	10009	TX

General Provider Information

NPI Number	:	1497366462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIA ELIZABETH SOLIS OD

Provider Business Mailing Address
First Line	:	2110 CASTLEHEATH CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-6072
Country	:	US
Telephone Number	:	832-577-4851
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 NUECES ST STE 70
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-4469
Country	:	US
Telephone Number	:	512-643-2020
Fax Number	:

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

Provider Enumeration Date	:	08/13/2020
Last Update Date	:	08/13/2020

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Directions to “ VALERIA ELIZABETH SOLIS OD” Practice Location

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