Brandon Louis Soukup
Brandon Louis Soukup is a Physician Assistant in Dallas, Texas. Qualified in 2018, 8 years ago. Practices with Cogent Healthcare of Texas PA, a 114-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 8
- Licensed in
- TX
- In the registry since
- 2018
Practice location Address checks out
7450 Holly Hill Dr Apt 104Dallas, TX 75231-5321
Phone: (254) 722-9724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 686187 (TX) |
|---|
Record details
| NPI number | 1467921411 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 20, 2018 |
| Last updated in NPPES | November 20, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Cogent Healthcare Of Texas Pa — 114 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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