Healthcare Provider Details

I. General information

NPI: 1619941432
Provider Name (Legal Business Name): DOUG PAUL SOELL PT, MPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 06/03/2024
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 SUNDOWN BLVD
DENTON TX
76210-8032
US

IV. Provider business mailing address

3301 SUNDOWN BLVD
DENTON TX
76210-8032
US

V. Phone/Fax

Practice location:
  • Phone: 940-387-3700
  • Fax: 940-488-4513
Mailing address:
  • Phone: 940-387-3700
  • Fax: 940-488-4513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3783
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1176807
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: