| Dr Ambrosio A Solano, MD | |
|
900 17th St, Woodward, OK 73801-2448 | |
| (580) 256-5511 | |
| (405) 751-3183 |
| Full Name | Dr Ambrosio A Solano |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 900 17th St, Woodward, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205872199 | NPI | - | NPPES |
| 100229540A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 11827 (Oklahoma) | Primary |
| 207R00000X | Internal Medicine | 11827 (Oklahoma) | Secondary |
| Entity Name | Emergency Physicians Of Midwest City Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558386474 PECOS PAC ID: 7911960844 Enrollment ID: O20041110001156 |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ambrosio A Solano, MD 4401 W Memorial Rd, #121, Oklahoma City, OK 73134-1785 Ph: (405) 751-4664 | Dr Ambrosio A Solano, MD 900 17th St, Woodward, OK 73801-2448 Ph: (580) 256-5511 |
James N Hall Iii, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 17th St, Er Dept, Woodward, OK 73801 Phone: 580-254-8468 | |
Dr. Jason Scott Ray, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 915 17th St, Woodward, OK 73801 Phone: 580-334-8568 Fax: 580-256-8000 |