Provider Demographics
NPI:1518237957
Name:SOLIZ, LILLIANA MICHELLE (PA)
Entity Type:Individual
Prefix:MISS
First Name:LILLIANA
Middle Name:MICHELLE
Last Name:SOLIZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:LILLIANA
Other - Middle Name:MICHELLE
Other - Last Name:SOLIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA
Mailing Address - Street 1:901 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6619
Mailing Address - Country:US
Mailing Address - Phone:956-968-5039
Mailing Address - Fax:
Practice Address - Street 1:901 JAMES ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6619
Practice Address - Country:US
Practice Address - Phone:956-968-5039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05985363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical