Provider Demographics
NPI:1083295265
Name:SOLANKI, NAMRATA
Entity Type:Individual
Prefix:
First Name:NAMRATA
Middle Name:
Last Name:SOLANKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14421 RYDER GRAY DR
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5050
Mailing Address - Country:US
Mailing Address - Phone:650-417-8571
Mailing Address - Fax:
Practice Address - Street 1:3001 S LAMAR BLVD STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-4794
Practice Address - Country:US
Practice Address - Phone:512-442-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39252122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty