Tara Solomon PA-C

NPI 1043570252 - Physician Assistant - 363A00000X

NPI Details
NPI 1043570252
Gender Female
Enumeration Date 05/22/2012
Last Updated 05/22/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2222 WELBORN ST
DALLAS TX, 75219-3924, US
Phone (214) 559-7831
Fax
Business Location
2222 WELBORN ST
DALLAS TX, 75219-3924, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA03949
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According to our database, Mrs. Tara Solomon PA-C NPI is 1043570252, taxonomy code is 363A00000X and license number is PA03949, license state is located at Texas. Tara Solomon PA-C physically located at 2222 Welborn St, Dallas TX, 75219-3924. NPI Number Tara Solomon PA-C has the Individual type.

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1043570252 NPI number is provided on an as is basis without warranty of any kind. 1043570252 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Solomon PA-C are for informational purposes only.