Martin D Solomon Md Pa | |
1600 W College St Suite 470 Grapevine TX 76051-3584 | |
(817) 481-8100 | |
(817) 421-6112 |
Full Name | Martin D Solomon Md Pa |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 1600 W College St, Grapevine, Texas |
Authorized Official Name and Position | Martin David Solomon (OWNER) |
Authorized Official Contact | 8174818100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Martin D Solomon Md Pa 1600 W College St Suite 470 Grapevine TX 76051-3584 Ph: (817) 481-8100 | Martin D Solomon Md Pa 1600 W College St Suite 470 Grapevine TX 76051-3584 Ph: (817) 481-8100 |
NPI Number | 1689831240 |
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Provider Enumeration Date | 05/21/2008 |
Last Update Date | 10/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689831240 | NPI | - | NPPES |
194541201 | Medicaid | TX | |
DH2391 | Other | TX | RRMEDICARE |
0035RJ | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | H8845 (Texas) | Primary |
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