Peter C Soo is a Psychiatry in Georgetown, Texas. Peter C Soo practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Peter C Soo is 1457430050. The last update date is 2021-02-25.
Peter C Soo's current location address is 205 E University Ave Ste 200, Georgetown, Texas. You can contact this provider via phone number 8778005722. The mailing address for Peter C Soo is 205 E University Ave Ste 200, Georgetown, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter C Soo |
|---|---|
| Address | 205 E University Ave Ste 200, Georgetown, Texas |
| Phone Number | 8778005722 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457430050 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2021-02-25 |
Provider Mailing Address Detail
| Address | 205 E University Ave Ste 200 |
|---|---|
| City | Georgetown |
| State | Texas (TX) |
| Post Code | 786266821 |
| Phone Number | 8778005722 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | K0383 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0082KC | TX | BCBS OF TX | |
| 7982417 | AETNA |
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What is the unique identifier code issued to Peter C Soo by the Centers for Medicare & Medicaid Services?
The Peter C Soo has been assigned the NPI (National Provider Identifier) 1457430050. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Peter C Soo?
The Peter C Soo is physically situated at 205 E University Ave Ste 200, in the city of Georgetown, state of TX, with the postal code 786266821.
What is Peter C Soo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Peter C Soo's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did Peter C Soo receive its 1457430050 assignment from the Centers for Medicare & Medicaid Services?
The Peter C Soo was assigned its 1457430050 on 2006-11-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Peter C Soo's information last updated?
The Peter C Soo's information was last updated on 2021-02-25.