Mack, Tracy T
Mack, Tracy T is an individual health care provider with primary practice located at 300 East 6Th Street , Texarkana AR 71854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mack, Tracy T can be contacted via phone (870) 779-6004.Contact Information
Primary practice address
300 East 6Th Street
Texarkana AR 71854
Phone: (870) 779-6004
Fax: (870) 779-6119
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 67268 | Georgia |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 64851 | Connecticut |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | E-6786 | Arkansas |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | R4528 | Texas |
Profile Details
NPI number | 1982866935 |
---|---|
LBN Legal business name | Mack, Tracy T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2008 |
Last updated | Jun 24th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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