MS. MARY SIDWELL SOLOMON (NPI# 1346408390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346408390 |
| Entity Type | Individual |
| Full Name | MS. MARY SIDWELL SOLOMON |
| Other Name | MS. MARY SIDWELL BROWN |
| Credential | R.D. |
| Practice Address |
3605 Executive Dr San Angelo TX 76904-6884 |
| Mailing Address |
1306 S Monroe St San Angelo TX 76901-4420 |
| Practice Telephone | 3252245229 |
| Practice Fax Number | 3252245901 |
| Mailing Telephone | 3257638979 |
| Mailing Fax Number | 3259476852 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2016-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
DT01529 | TX | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447814827 | Mary Solomon | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-05-01 |
| 1518178706 | Mary Lucille Solomon | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2007-05-27 |
| Street Address |
3605 EXECUTIVE DR |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-6884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716264 | San Angelo Ambulatory Surgery Center | Clinic/Center | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2005-11-08 |
| 1497233134 | Brittney Hughes | Specialist/Technologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2018-08-03 |
| 1275954232 | Michael Matthews | Physician Assistant | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2013-12-18 |
| 1326384553 | Soheil Daftarian | Ophthalmology | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-12-16 |
| 1134463300 | Melissa Mcarthur | Audiologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-11-12 |
| 1134472509 | Kayla Joy Gibbs | Nurse Practitioner | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-10-22 |
| 1124383567 | Michael Keesey Boyd | Surgery | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-07-11 |
| 1790065936 | Jessie Hoak | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2011-08-19 |
| 1427297506 | Jennifer D Slaven | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2009-02-12 |
| 1144485756 | West Texas Medical Associates | Family Medicine | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909202 | Kevin Connolly Klatt | Dietitian, Registered | 4607 Morningside Dr, Houston, TX 77005-1441 | 2020-10-09 |
| 1346758745 | Jacqueline Kay Williams | Dietitian, Registered | 15008 Sendero Ln, Waco, TX 76712-7570 | 2018-01-19 |
| 1700252848 | Tatjana Walker | Dietitian, Registered | 264 W Mariposa Dr, San Antonio, TX 78212-1507 | 2015-08-12 |
| 1760879530 | Erica Hefner | Dietitian, Registered | 3117 Sharpview Ln, Dallas, TX 75228-6057 | 2015-04-20 |
| 1801226634 | Maynon Michelle Ballow | Dietitian, Registered | 4209 Mckinney Avenue Suite 202-c, Dallas, TX 75207 | 2013-11-14 |
| 1831432004 | Cindy M Rose | Dietitian, Registered | 1617 Arbor Crest Dr Apt 1822, Bedford, TX 76021-1816 | 2013-04-05 |
| 1710233630 | Kalyani Alladi | Dietitian, Registered | 15173 Regal Oak Ln, Frisco, TX 75035-6444 | 2012-07-29 |
| 1164794301 | Leanne Skinner | Dietitian, Registered | 4127 Honeycomb Rock Circle, Austin, TX 78731 | 2012-02-03 |
| 1780903559 | Therese Lebeau | Dietitian, Registered | 2212 Dunlavy St Apt 3, Houston, TX 77006-1749 | 2010-05-19 |
| 1265769053 | Beverly Millison | Dietitian, Registered | 3701 Lavorton Pl, Flower Mound, TX 75022-6708 | 2009-11-16 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
Please comment or provide details below to improve the information on MS. MARY SIDWELL SOLOMON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.