Provider Demographics
NPI:1902081854
Name:PAT SOLIS, M.D., F.A.C.O.G., P.A.
Entity Type:Organization
Organization Name:PAT SOLIS, M.D., F.A.C.O.G., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-827-1500
Mailing Address - Street 1:909 FROSTWOOD DR
Mailing Address - Street 2:SUITE 162
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:713-827-1500
Mailing Address - Fax:713-984-1500
Practice Address - Street 1:909 FROSTWOOD DR
Practice Address - Street 2:SUITE 162
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2301
Practice Address - Country:US
Practice Address - Phone:713-827-1500
Practice Address - Fax:713-984-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5622174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB26569Medicare UPIN
TX00CA40Medicare PIN