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SOMSOUK SOUTHICHACK RN, PMHNP
NPI 1497280598
Nurse Practitioner - Psychiatric/Mental Health in Euless, TX

Active since April 26, 2017
3200 W EULESS BLVD, EULESS, TX 76040(817) 702-3100(817) 920-6271 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2018, Nov 27, 2017, Apr 26, 2017 (3 updates tracked since 2017).

About Somsouk Southichack Rn, Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOMSOUK SOUTHICHACK RN, PMHNP (NPI 1497280598) is an individual psychiatric/mental health provider in Euless, Texas, licensed in Texas (AP132679) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1497280598
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSOMSOUK SOUTHICHACKCredential: RN, PMHNP
Location Address3200 W EULESS BLVDEuless, TX 76040-6253
Mailing AddressPo Box 732973Dallas, TX 75373-2973 · (817) 702-8450
Phone(817) 702-3100
Fax(817) 920-6271
Sole ProprietorYes
Enumeration DateApril 26, 2017
Last NPPES UpdateNovember 15, 20183 updates tracked since enumeration
✔ NPI 1497280598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP132679
3200 W EULESS BLVD, Euless, TX 76040
Open in Google Maps ↗

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCIS KEVIN MASCARENHAS MD
Family Medicine
3200 W EULESS BLVD
EULESS, TX 76040
Tarrant County (817) 702-1100
GHAZANFAR ALI M.D.
Family Medicine
3200 W EULESS BLVD
EULESS, TX 76040
Tarrant County (817) 702-1100
ABRAR ALVI MOHAMMED MD
Internal Medicine
3200 W EULESS BLVD
EULESS, TX 76040
Tarrant County (817) 702-1100
CHARLOTTE LONG NP-C
Nurse Practitioner
3200 W EULESS BLVD
EULESS, TX 76040
Tarrant County (817) 702-1100
BRAVO DENTAL
Dentist (General Practice)
3200 W EULESS BLVD
EULESS, TX 76040
Tarrant County (214) 884-9814
DANIEL C LUM MD
Family Medicine
3200 W EULESS BLVD
EULESS, TX 76040
Tarrant County (817) 702-1100
VICTORIA L KLEIN WHNP
Nurse Practitioner (Women's Health)
3200 W EULESS BLVD
EULESS, TX 76040
Tarrant County (817) 702-1100
FRANCISCA NEBE FNP-BC
Nurse Practitioner (Family)
3200 W EULESS BLVD
EULESS, TX 76040
Tarrant County (817) 702-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Somsouk Southichack's NPI number?

The NPI number for Somsouk Southichack is 1497280598. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Somsouk Southichack located?

Somsouk Southichack practices at 3200 W Euless Blvd, Euless, TX 76040. The listed phone number is (817) 702-3100.

What is Somsouk Southichack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Somsouk Southichack was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.