Provider Demographics
NPI:1982723532
Name:SOLOMAY, ALAN B (SA-C)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:B
Last Name:SOLOMAY
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19155
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-9155
Mailing Address - Country:US
Mailing Address - Phone:281-969-7137
Mailing Address - Fax:281-969-8882
Practice Address - Street 1:4803 HACKAMORE BROOK CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-5377
Practice Address - Country:US
Practice Address - Phone:832-512-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00342246ZS0410X, 363AS0400X
TX99-216246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist