Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Douglas Wayne Soderdahl, MD

Individual provider Military Health Care Provider · NPI 1245217769

Dr. Douglas Wayne Soderdahl, MD is a Military Health Care Provider in Fort Sam Houston, Texas. Licensed in Virginia and Wisconsin. Registered with an NPI since 2005.

Licensed in
VA, WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3851 Roger Brooke Drive Mche-Qd
Fort Sam Houston, TX 78234-6200
Phone: (210) 916-2460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 34673-20 (WI)
Military Health Care Provider Taxonomy 171000000X · Licence 0101233888 (VA)

Record details

NPI number1245217769
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESMay 13, 2015
Mailing address3851 Roger Brooke Drive, McHe-Qd, Fort Sam Houston, TX 78234-6200

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