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Individual
DR. PAMELA SUE SOLLY
Active
Individual
DR. PAMELA SUE SOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6918TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01040051
AMERIGROUP
—
01
—
1058395
BLUELINK
TX
01
—
152203100
FIRST CARE
—
01
—
32787-020
DAVIS VISION
—
01
—
7303862
AETNA
—
01
—
81620Q
BLUE CROSS BLUE SHIELD
TX
01
—
930467
BLOCK VISION
—
01
—
TX6918
EYEMED
—
01
—
VP17759
GE WELLNESS
—
Enumeration date
08/11/2006
Last updated
06/21/2011
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