IndividualActive
Brianna Souder, DO
NPI 1780115618 · Pediatric Cardiology Physician · Tyler, TX
Provider details
- NPI number
- 1780115618
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 2020-00828 (NC)
Practice location
909 E Se Loop 323 Ste 360
Tyler, TX 75701-9101
Phone: (903) 393-3169
Fax: (903) 508-6154
Mailing address
909 E Se Loop 323 Ste 360
Tyler, TX 75701-9101
Registry dates
- Enumerated
- 2017-03-22
- Last updated
- 2024-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.