SOTO LUIS JUAN - NPI: 1235771015


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1235771015
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: JUAN
Provider Last Name: SOTO
Provider Middle Name: LUIS
Provider Gender Code: M
Provider Credential Text: FNP
Provider Enumeration Date: 10/13/2019
Last Update Date: 10/13/2019

Business Address:

Provider First Line Business Mailing Address: 32856 LIMON DR
Provider Business Mailing Address City Name: LOS FRESNOS
Provider Business Mailing Address State Name: TX
Provider Business Mailing Address Postal Code: 78566
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 9562419888

Mailing Address:

Provider First Line Business Practice Location Address: 2101 PEASE ST
Provider Business Practice Location Address City Name: HARLINGEN
Provider Business Practice Location Address State Name: TX
Provider Business Practice Location Address Postal Code: 78550
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 9563895000

Primary Taxonomy:

Taxonomy Code: 363LF0000X
License Number: AP142907
License State: TX
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Family
Definition: Definition to comeā€¦
Source: The National Provider Identifier

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