Soederbaum, Nadeen Lucero

Soederbaum, Nadeen Lucero is an individual health care provider with primary practice located at 221 Regency Pkwy Ste 125, Mansfield TX 76063-5379. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Soederbaum, Nadeen Lucero can be contacted via phone (817) 477-5884.

Contact Information

Primary practice address
221 Regency Pkwy Ste 125 Mansfield TX 76063-5379
Phone: (817) 477-5884
Fax: (855) 620-7823
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 892-L Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q8627 Texas

Profile Details

NPI number 1821439274
LBN Legal business name Soederbaum, Nadeen Lucero
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2013
Last updated Dec 14th, 2016 - about 10 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821439274 NPPES
Texas MEDICAID 362955201
Texas MEDICAID 362955202

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