Provider Demographics
NPI:1780642033
Name:SOLIS, CARLOS XAVIER (RPH)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:XAVIER
Last Name:SOLIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 E AVOCET AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2237
Mailing Address - Country:US
Mailing Address - Phone:956-358-1265
Mailing Address - Fax:956-393-2010
Practice Address - Street 1:4955 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7228
Practice Address - Country:US
Practice Address - Phone:956-393-2000
Practice Address - Fax:956-393-2010
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist