Organization
MARTIN D SOLOMON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN DAVID SOLOMON MD (OWNER)
(817) 481-8100
Entity
Organization
Contact information
Practice address
1600 W COLLEGE ST, SUITE 470, GRAPEVINE, TX 76051-3584
(817) 481-8100
(817) 421-6112
Mailing address
1600 W COLLEGE ST, SUITE 470, GRAPEVINE, TX 76051-3584
(817) 481-8100
(817) 421-6112
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H8845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035RJ
BCBS
TX
05
—
194541201
—
TX
01
—
DH2391
RRMEDICARE
TX
Enumeration date
05/21/2008
Last updated
10/07/2008
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