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Individual

MR. PETER C SOO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 POLAR LN STE 101, CEDAR PARK, TX 78613-3065
(844) 824-8775
(281) 648-2200
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(877) 800-5722

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K0383
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0082KC
BCBS OF TX
TX
01
7982417
AETNA
Enumeration date
11/03/2006
Last updated
04/30/2025
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