Provider Demographics
NPI:1861452146
Name:SOEHNER, LESLIE KAREN (CRNA)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:KAREN
Last Name:SOEHNER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-715-0000
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:13737 NOEL RD
Practice Address - Street 2:SUITE 1410
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX424747367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC081959H1Medicaid
TX81959HMedicare ID - Type Unspecified607K
TXC081959H1Medicaid
TX315203YK9HMedicare PIN