Souder, Brianna
Souder, Brianna is an individual health care provider with primary practice located at 909 E Se Loop 323 Ste 360 , Tyler TX 75701-9101. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Souder, Brianna can be contacted via phone (903) 393-3169.Contact Information
Primary practice address
909 E Se Loop 323 Ste 360
Tyler TX 75701-9101
Phone: (903) 393-3169
Fax: (903) 508-6154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2020-00828 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | V2279 | Texas |
Profile Details
| NPI number | 1780115618 |
|---|---|
| LBN Legal business name | Souder, Brianna |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2017 |
| Last updated | Jun 29th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780115618 | NPPES |
| North Carolina | Other | 2020-00828 | NORTH CAROLINA MEDICAL BOARD |
| North Carolina | Other | V2279 | NORTH CAROLINA MEDICAL BOARD |
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