Provider Demographics
NPI:1104260892
Name:SOTO, NATALIE CATALINA RAMIREZ (MD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:CATALINA RAMIREZ
Last Name:SOTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:CATALINA
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6330 LBJ FWY STE 150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6431
Mailing Address - Country:US
Mailing Address - Phone:214-225-3428
Mailing Address - Fax:214-617-0348
Practice Address - Street 1:6330 LBJ FWY STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6431
Practice Address - Country:US
Practice Address - Phone:214-225-3428
Practice Address - Fax:214-617-0348
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1490272084P0800X
390200000X
TXS00652084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program