Nadeen Lucero Soederbaum MD PLLC
Clinic/Center, Primary Care in Arlington, TX. Organization (NPI-2).
NPI number1194456038
StatusActive
Last updated in NPPESJun 21, 2022
Details
- NPI
- 1194456038
- Entity type
- Organization (NPI-2)
- Legal business name
- Nadeen Lucero Soederbaum MD PLLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2022
- Certification date
- Jun 21, 2022
- Last updated
- Jun 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Liv Med (Doing Business As)
Practice location
903 Medical Centre Dr Ste BArlington, TX 76012-4754
Phone 682-220-9646 · Fax 580-297-9236
Mailing address
6017 Lakehurst CtArlington, TX 76016-1025
Phone 817-823-4290
Authorized official
Nadeen Lucero Soederbaum
Member
8178234290
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