Provider Demographics
NPI:1477974228
Name:THE SOLOMON GROUP, LLC
Entity Type:Organization
Organization Name:THE SOLOMON GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-458-2274
Mailing Address - Street 1:5508 W HIGHWAY 290
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8816
Mailing Address - Country:US
Mailing Address - Phone:512-458-2274
Mailing Address - Fax:
Practice Address - Street 1:5508 W HIGHWAY 290
Practice Address - Street 2:SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8816
Practice Address - Country:US
Practice Address - Phone:512-458-2274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1632541251B00000X
CA0I27707251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management