Provider Demographics
NPI:1558944710
Name:SOLANO EMERGENCY ASSOCIATES
Entity Type:Organization
Organization Name:SOLANO EMERGENCY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-405-0953
Mailing Address - Street 1:1088 LAVON DR
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-1122
Mailing Address - Country:US
Mailing Address - Phone:313-405-0953
Mailing Address - Fax:
Practice Address - Street 1:1614 W FILMORE AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6262
Practice Address - Country:US
Practice Address - Phone:313-405-0953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center