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Amy Souter is one of 637 nurse practitioners practicing in Tyler, Texas .
Amy Souter practices with Charles R Gordon MD PA.
Registry record (NPPES)
NPI
1881972727
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
403 State Highway 110 N Whitehouse, TX 75791-3109 (903) 839-1000
Enumerated
Jul 26, 2011
Record last updated
Mar 5, 2019
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2737 S Broadway Ave
Tyler , TX 75701
(903) 592-6000
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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