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

Shane Soudek

Individual provider Peer Specialist · NPI 1063293033

Shane Soudek is a Peer Specialist in Edmond, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1007 Crown Dr
Edmond, OK 73034-5535
Phone: (405) 368-7229
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1063293033
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2023
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing address1007 Crown Dr, Edmond, OK 73034-5535

Other providers in Edmond