MEDICARE: HEALTH BODY MIND MEDICAL PLLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1649138520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH BODY MIND MEDICAL PLLC

Provider Business Mailing Address
First Line	:	725 S ANN BLVD UNIT B
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1260
Country	:	US
Telephone Number	:	254-248-1397
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 S ANN BLVD UNIT B
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1260
Country	:	US
Telephone Number	:	254-248-1397
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MARILYN SOTO
Credential	:	DNP, FNP-C
Telephone Number	:	254-973-1565

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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