P Praxis·MD
● Active Type 1 · Individual

Brianna Souder, DO

Pediatrics·Tyler, TX· NPI 1780115618 · Enumerated 2017 · 9 years on NPI
Souder is 1 of 2 pediatrics providers in Tyler and 1 of 351 in Texas.
NPI age
9 years
Enumerated 2017-03-22
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
TX, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 351 active pediatrics providers in Texas.

NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
2 states
Top 73% — 26% of peers are multi-state
Subspecialties
2
In the 47% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-03Enumerated in NPPES
2017 2026

Where they practice

Practice location
909 E Se Loop 323 Ste 360
Tyler, TX 757019101
📞 9033933169fax 9035086154
Mailing address
909 E Se Loop 323 Ste 360
Tyler, TX 757019101
📞 9033933169fax 9035086154

Specialties

  • Pediatrics Primary
    A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels,...
    TX license #V2279 taxonomy 2080P0202X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    NC license #2020-00828 taxonomy 208000000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Identifiers

TypeValueNotes
01 (NC) 2020-00828 NORTH CAROLINA MEDICAL BOARD
01 (TX) V2279 TEXAS MEDICAL BOARD
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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