Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abigail Joy Soderdahl, PA-C

Individual provider Medical Physician Assistant · NPI 1619775236

Abigail Joy Soderdahl, PA-C is a Physician Assistant in Fort Worth, Texas. Qualified in 2025, 1 year ago. Practices with Texas Center for Urology LLP, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2900 Acme Brick Plz
Fort Worth, TX 76109-4123
Phone: (817) 871-9069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11803 South Fwy Ste 346, Burleson, TX 76028-7036 — (817) 769-3370

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA19046 (TX)

Record details

NPI number1619775236
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 7, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Texas Center For Urology Llp — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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