| Nadeen Lucero Soederbaum, MD | |
|
221 Regency Pkwy, Ste 125, Mansfield, TX 76063-5379 | |
| (817) 477-5884 | |
| (855) 620-7823 |
| Full Name | Nadeen Lucero Soederbaum |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 221 Regency Pkwy, Mansfield, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821439274 | NPI | - | NPPES |
| 362955201 | Medicaid | TX | |
| 362955202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 892-L (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | Q8627 (Texas) | Primary |
| Entity Name | Nadeen Lucero Soederbaum M.d, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194456038 PECOS PAC ID: 3375926595 Enrollment ID: O20220819001750 |
| Mailing Address | Practice Location Address |
|---|---|
| Nadeen Lucero Soederbaum, MD 221 Regency Pkwy, Ste 125, Mansfield, TX 76063-5379 Ph: (817) 477-5884 | Nadeen Lucero Soederbaum, MD 221 Regency Pkwy, Ste 125, Mansfield, TX 76063-5379 Ph: (817) 477-5884 |
John Paul Hood, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1751 Broad Park Cir S Ste 203, Mansfield, TX 76063 Phone: 817-539-7377 Fax: 817-842-5505 | |
Dr. Karla Rae Dick, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3601 N Highway 157, Mansfield, TX 76063 Phone: 817-473-7962 Fax: 682-518-7912 | |
Christie U. Egbuchunam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Regency Pkwy, Suite 509, Mansfield, TX 76063 Phone: 817-453-2323 Fax: 817-453-2322 | |
Lora Plumlee Boone, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3601 Highway 157 N, Mansfield, TX 76063 Phone: 817-473-7962 | |
Ricardo Chujutalli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1670 E Broad St Ste 110, Mansfield, TX 76063 Phone: 682-341-7510 | |
Linda Nguyen Palsky, RN Family Medicine Medicare: Medicare Enrolled Practice Location: 3020 E Broad St Ste 100, Mansfield, TX 76063 Phone: 682-282-4014 | |
Mr. Doyle Fairchild Gallman Jr., D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2360 Highway 157 N, Mansfield, TX 76063 Phone: 817-453-2123 Fax: 817-453-2151 |