Provider Demographics
NPI:1336868462
Name:POLANCO, REBECCA SOLIS (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:SOLIS
Last Name:POLANCO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6326 SOVEREIGN ST STE 160
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5177
Mailing Address - Country:US
Mailing Address - Phone:726-208-7900
Mailing Address - Fax:726-208-2200
Practice Address - Street 1:6326 SOVEREIGN ST STE 160
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5177
Practice Address - Country:US
Practice Address - Phone:210-934-7017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139571363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care