Provider Demographics
NPI:1376620278
Name:SOLARIS MEDICAL EQUIPMENT INC.
Entity Type:Organization
Organization Name:SOLARIS MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:OYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-626-1417
Mailing Address - Street 1:1500 S FM 51
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-2424
Mailing Address - Country:US
Mailing Address - Phone:940-626-1417
Mailing Address - Fax:940-626-1471
Practice Address - Street 1:1500 S FM 51
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-2424
Practice Address - Country:US
Practice Address - Phone:940-626-1417
Practice Address - Fax:940-626-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0084669332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1788648Medicaid
TX1788648Medicaid
TX5278680001Medicare ID - Type UnspecifiedMEDICARE ID