Provider Demographics
NPI:1336582287
Name:SOLOMON, PRESTON LEE (BHRS)
Entity type:Individual
Prefix:MR
First Name:PRESTON
Middle Name:LEE
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:BHRS
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Mailing Address - Street 1:6215 NW 63RD ST
Mailing Address - Street 2:APT. A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-7515
Mailing Address - Country:US
Mailing Address - Phone:405-713-6934
Mailing Address - Fax:405-713-6915
Practice Address - Street 1:6215 NW 63RD ST
Practice Address - Street 2:APT. A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-7515
Practice Address - Country:US
Practice Address - Phone:405-713-6934
Practice Address - Fax:405-713-6915
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind