Provider Demographics
NPI:1528580016
Name:SOLIS, RODOLFO V JR (PT, DPT)
Entity Type:Individual
Prefix:
First Name:RODOLFO
Middle Name:V
Last Name:SOLIS
Suffix:JR
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:RUDY
Other - Middle Name:V
Other - Last Name:SOLIS
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-450-9680
Mailing Address - Fax:
Practice Address - Street 1:8300 FLOYD CURL DR FL 3
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3931
Practice Address - Country:US
Practice Address - Phone:210-950-9680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3121168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX375777502OtherCSHCN
TX375777501Medicaid