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Individual

EBEN O SOLIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1401 MEDICAL PKWY BLDG B, STE 200, CEDAR PARK, TX 78613-7464
(512) 260-1581
(512) 406-7309
Mailing address
6210 E US HWY 290, AUSTIN, TX 78723
(512) 483-9596
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02859
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6B1720
MEDICARE PTAN
TX
Enumeration date
06/22/2009
Last updated
01/10/2025
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