Question 1

What type of a medical provider is Somsouk Southichack?

Accepted Answer

Somsouk Southichack is a Nurse Practitioner (Psych/Mental Health).

Question 2

Where does Somsouk Southichack practice medicine?

Accepted Answer

Somsouk Southichack has the following practice address:3200 W EULESS BLVD, EULESS, TX 76040-6253

Question 3

Does this provider have a license number?

Accepted Answer

Somsouk Southichack has the following license number: License Number AP132679 issued in Texas.

Question 4

Does Somsouk Southichack accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Somsouk Southichack have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Somsouk Southichack a member of any Medical Groups?

Accepted Answer

Somsouk Southichack is not affiliated with any medical groups.

Question 7

Does Somsouk Southichack participate in PECOS?

Accepted Answer

Yes, Somsouk Southichack participates in PECOS.

Question 8

What phone number can I call to contact Somsouk Southichack?

Accepted Answer

You can call the following number: (817)-702-3100

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Somsouk Southichack.

Question 10

Is Somsouk Southichack  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 7 years ago (11/15/2018).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Somsouk Southichack

Overview