Provider Demographics
NPI:1558673640
Name:SOLIZ PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:SOLIZ PHYSICAL THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DUSTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:361-786-3001
Mailing Address - Street 1:PO BOX 852
Mailing Address - Street 2:
Mailing Address - City:THREE RIVERS
Mailing Address - State:TX
Mailing Address - Zip Code:78071-0852
Mailing Address - Country:US
Mailing Address - Phone:361-786-3001
Mailing Address - Fax:361-786-3008
Practice Address - Street 1:305 WEST THORNTON STREET
Practice Address - Street 2:
Practice Address - City:THREE RIVERS
Practice Address - State:TX
Practice Address - Zip Code:78071
Practice Address - Country:US
Practice Address - Phone:361-786-3001
Practice Address - Fax:361-786-3008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1151381225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty