| Nadeen Lucero Soederbaum Md Pllc | |
|
903 Medical Centre Dr Ste B Arlington TX 76012-4754 | |
| (682) 220-9646 | |
| (580) 297-9236 |
| Full Name | Nadeen Lucero Soederbaum Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 903 Medical Centre Dr Ste B, Arlington, Texas |
| Authorized Official Name and Position | Nadeen Lucero Soederbaum (MEMBER) |
| Authorized Official Contact | 8178234290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nadeen Lucero Soederbaum Md Pllc 6017 Lakehurst Ct Arlington TX 76016-1025 Ph: (817) 823-4290 | Nadeen Lucero Soederbaum Md Pllc 903 Medical Centre Dr Ste B Arlington TX 76012-4754 Ph: (682) 220-9646 |
| NPI Number | 1194456038 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 06/21/2022 |
| Medicare PECOS PAC ID | 3375926595 |
|---|---|
| Medicare Enrollment ID | O20220819001750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194456038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nadeen Lucero Soederbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821439274 PECOS PAC ID: 2062709488 Enrollment ID: I20160928000586 |
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