Provider Demographics
NPI:1952409831
Name:PALEY, SOLOMON ISAAC (MD)
Entity Type:Individual
Prefix:
First Name:SOLOMON
Middle Name:ISAAC
Last Name:PALEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 N LOOP 1604 W
Mailing Address - Street 2:SUITE 1204
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1036
Mailing Address - Country:US
Mailing Address - Phone:210-946-6677
Mailing Address - Fax:210-946-6777
Practice Address - Street 1:434 N LOOP 1604 W
Practice Address - Street 2:SUITE 1204
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1036
Practice Address - Country:US
Practice Address - Phone:210-946-6677
Practice Address - Fax:210-946-6777
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6642207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00716RMedicare UPIN