MEDICARE: INNA SOLODKY M.D.,P.A.

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	207Q00000X	Family Medicine Physician	M0281	TX

General Provider Information

NPI Number	:	1972786739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNA SOLODKY M.D.,P.A.

Provider Business Mailing Address
First Line	:	405 OLD WEST DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-7452
Country	:	US
Telephone Number	:	512-255-3631
Fax Number	:	512-255-3972

Provider Business Practice Location Address
First Line	:	405 OLD WEST DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-7452
Country	:	US
Telephone Number	:	512-255-3631
Fax Number	:	512-255-3972

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. INNA SOLODKY
Credential	:	M.D.
Telephone Number	:	512-255-3631

Provider Enumeration Date	:	12/14/2007
Last Update Date	:	12/14/2007

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