Individual
NELIA P SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-AC/PC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-2331
(214) 456-2897
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
585748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188220103
—
TX
01
—
188220104
CSHCN
TX
01
—
8F10105
MEDICARE
TX
Enumeration date
01/26/2007
Last updated
12/31/2024
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