Provider Demographics
NPI:1992802193
Name:SOLOMON, HOWARD DAVID (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:DAVID
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 ASHBY ST
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5118
Mailing Address - Country:US
Mailing Address - Phone:830-379-3046
Mailing Address - Fax:830-379-8552
Practice Address - Street 1:1255 ASHBY ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5118
Practice Address - Country:US
Practice Address - Phone:830-379-3046
Practice Address - Fax:830-379-8552
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0009208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX826081628OtherRAILROAD MEDICARE
TX098177103Medicaid
TX8P2310OtherBCBS
0609670001Medicare NSC
TX826081628OtherRAILROAD MEDICARE
TX098177103Medicaid