Provider Demographics
NPI:1851150247
Name:SOLIS, GABRIELLA CAROLINA (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:CAROLINA
Last Name:SOLIS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4816 TAHOE TRL
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-5015
Mailing Address - Country:US
Mailing Address - Phone:214-355-0007
Mailing Address - Fax:
Practice Address - Street 1:4816 TAHOE TRL
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-5015
Practice Address - Country:US
Practice Address - Phone:214-355-0007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84234133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered