| Solo Doc Md Pa | |
|
1314 E Sonterra Blvd Suite 5203 San Antonio TX 78258-4278 | |
| (210) 946-6677 | |
| Not Available |
| Full Name | Solo Doc Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1314 E Sonterra Blvd, San Antonio, Texas |
| Authorized Official Name and Position | Solomon Issac Paley (OWNER) |
| Authorized Official Contact | 2109466677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solo Doc Md Pa Po Box 2157 Universal City TX 78148-1157 Ph: (210) 947-6777 | Solo Doc Md Pa 1314 E Sonterra Blvd Suite 5203 San Antonio TX 78258-4278 Ph: (210) 946-6677 |
| NPI Number | 1184803074 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/09/2014 |
| Medicare PECOS PAC ID | 2769559475 |
|---|---|
| Medicare Enrollment ID | O20080923000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184803074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J6642 (Texas) | Primary |
| Provider Name | Solomon I Paley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952409831 PECOS PAC ID: 1153342365 Enrollment ID: I20051215000635 |
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