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Brandon Soukup
NPI 1467921411 · on the registry since 2018
Practice
- Address
- 7450 Holly Hill Dr Apt 104
Dallas, TX 75231 - Phone
- (254) 722-9724
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas