Provider Demographics
NPI:1427058171
Name:SOLIS, RAMON A JR (MD)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:A
Last Name:SOLIS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1331 W. GRAND PARKWAY NORTH
Mailing Address - Street 2:SUITE 230
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2711
Mailing Address - Country:US
Mailing Address - Phone:281-392-8620
Mailing Address - Fax:281-392-2258
Practice Address - Street 1:1331 W. GRAND PARKWAY NORTH
Practice Address - Street 2:SUITE 230
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2711
Practice Address - Country:US
Practice Address - Phone:281-392-8620
Practice Address - Fax:281-392-2258
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2010-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH4714207R00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116791801Medicaid
TX00U65JOtherGROUP MC ID
TX89Y801Medicare PIN
TX00U65JOtherGROUP MC ID