MEDICARE: NATALIE CATALINA RAMIREZ SOTO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	149027	CA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2084P0804X	Child & Adolescent Psychiatry Physician	S0065	TX

General Provider Information

NPI Number	:	1104260892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE CATALINA RAMIREZ SOTO M.D.

Provider Business Mailing Address
First Line	:	6330 LBJ FWY STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6431
Country	:	US
Telephone Number	:	214-225-3428
Fax Number	:	214-617-0348

Provider Business Practice Location Address
First Line	:	6330 LBJ FWY STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6431
Country	:	US
Telephone Number	:	214-225-3428
Fax Number	:	214-617-0348

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2013
Last Update Date	:	02/12/2020

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