Individual
DR. MALCOLM JAMES SOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
22250 BULVERDE RD STE 120, SAN ANTONIO, TX 78261-3082
(210) 401-8185
Mailing address
22250 BULVERDE RD STE 120, SAN ANTONIO, TX 78261-3082
(210) 401-8185
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME100702
FL
207P00000X
Emergency Medicine Physician
Primary
Q0368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000647800
—
FL
01
—
03829
BLUE SHIELD
FL
Enumeration date
08/30/2006
Last updated
11/01/2022
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