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1629261383

NPI Code Detail

MEDICARE: MATTHIAS SOLOMON MD

MEDICARE: MATTHIAS SOLOMON MD

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	2086S0122X	Plastic and Reconstructive Surgery Physician	50155	MN
2	2086S0122X	Plastic and Reconstructive Surgery Physician	28975	OK
3	2086S0122X	Plastic and Reconstructive Surgery Physician	P3587	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00632081	OTHER	MN	MEDICARE, RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629261383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHIAS SOLOMON MD

Provider Business Mailing Address
First Line	:	2161 MEADOW VIEW DR
Second Line	:
City	:	PROSPER
State	:	TX
Zip	:	75078-9447
Country	:	US
Telephone Number	:	612-851-0195
Fax Number	:

Provider Business Practice Location Address
First Line	:	12655 N CENTRAL EXPY
Second Line	:	SUITE 650
City	:	DALLAS
State	:	TX
Zip	:	75243-1700
Country	:	US
Telephone Number	:	214-234-0277
Fax Number	:	972-474-9045

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

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	11/17/2016

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Directions to “ MATTHIAS SOLOMON MD” Practice Location

Language	Start Address	Practice Location

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