Individual
MARTIN DAVID SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W COLLEGE ST, STE 470, GRAPEVINE, TX 76051-3584
(817) 481-8100
(817) 421-6112
Mailing address
1600 W COLLEGE ST, STE 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
05
—
123011205
—
TX
01
—
130006653
RR MEDICARE
TX
01
—
8BF080
BCBS
TX
Enumeration date
06/28/2005
Last updated
10/07/2008
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