Provider Demographics
NPI:1982020863
Name:SOLIS MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:SOLIS MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SREENADHA
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:VATTAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-892-1999
Mailing Address - Street 1:2023 W MCDERMOTT DR
Mailing Address - Street 2:STE 320
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4676
Mailing Address - Country:US
Mailing Address - Phone:903-892-1999
Mailing Address - Fax:
Practice Address - Street 1:100 W LAMBERTH RD
Practice Address - Street 2:STE A
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-2671
Practice Address - Country:US
Practice Address - Phone:903-892-1999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-15
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0746207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty