Provider Demographics
NPI:1508754748
Name:SOLIS, WALTER JR (CEO)
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:
Last Name:SOLIS
Suffix:JR
Gender:M
Credentials:CEO
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Mailing Address - Street 1:16200 BRIDGELAND HIGH SCHOOL RD APT 5316
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6502
Mailing Address - Country:US
Mailing Address - Phone:713-282-4140
Mailing Address - Fax:
Practice Address - Street 1:16200 BRIDGELAND HIGH SCHOOL RD APT 5316
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6502
Practice Address - Country:US
Practice Address - Phone:713-282-4140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX24246232343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)