Provider Demographics
NPI:1598744633
Name:SOLTES, RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:SOLTES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5607 MONTICELLO AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-6003
Mailing Address - Country:US
Mailing Address - Phone:214-823-4263
Mailing Address - Fax:
Practice Address - Street 1:5607 MONTICELLO AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-6003
Practice Address - Country:US
Practice Address - Phone:214-823-4263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2800207P00000X, 207R00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX930126183OtherMEDICARE RAILROAD
TX131348801Medicaid
TX930069829OtherMEDICARE RAILROAD
TX88492KOtherBCBS
TX131348809Medicaid
TX8B7007OtherBCBS
TX131348801Medicaid
TX8A2254Medicare ID - Type Unspecified
TX88492KOtherBCBS