Provider Demographics
NPI:1346771078
Name:AMBE, SOLOMON NEBA (MD)
Entity type:Individual
Prefix:
First Name:SOLOMON
Middle Name:NEBA
Last Name:AMBE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 W MAGNOLIA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-7657
Mailing Address - Country:US
Mailing Address - Phone:146-928-6880
Mailing Address - Fax:817-702-2140
Practice Address - Street 1:1500 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4917
Practice Address - Country:US
Practice Address - Phone:817-702-1100
Practice Address - Fax:817-702-1101
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2024-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXT5072208D00000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice