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Brianna Souder, DO
Pediatric Cardiology Physician in Tyler, Texas
NPI 1780115618

Brianna Souder is a Pediatric Cardiology Physician based in Tyler, TX and is specialized in Pediatric Cardiology. Brianna Souder practices in Tyler, TX and has the professional credentials of DO. The NPI Number for Brianna Souder is 1780115618 and holds a License No. 2020-00828 (Texas).

The current practice location address for Brianna Souder is 909 E Se Loop 323 Ste 360, Tyler, TX and can be reached out via phone at 903-393-3169 and via fax at 903-508-6154.

Location: 909 E Se Loop 323 Ste 360, Tyler, TX, 75701-9101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780115618
Provider Name
Brianna Souder
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
909 E Se Loop 323 Ste 360, Tyler, TX, 75701-9101
Phone Number
903-393-3169
Fax Number
903-508-6154
Provider Enumeration Date
03/22/2017
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2020-00828 01 NC NORTH CAROLINA MEDICAL BOARD
V2279 01 TX TEXAS MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
909 E Se Loop 323 Ste 360
City
Tyler
State
Texas
Zip
75701-9101
Phone Number
903-393-3169
Fax Number
903-508-6154
person
Provider Business Mailing Address Details
Address
909 E Se Loop 323 Ste 360
City
Tyler
State
Texas
Zip
75701-9101
Phone Number
903-393-3169
Fax Number
903-508-6154
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
V2279 (Texas)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Cardiology
Taxonomy
2080P0202X
License No.
()
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2020-00828 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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