Tackett-Mirabal, Beth Ann
Tackett-Mirabal, Beth Ann is an individual health care provider with primary practice located at 1025 Long Prairie Rd Ste 100 , Flower Mound TX 75022-4346. She recently has only one registered license in Nursing Service Providers / Ophthalmic, which is considered as her primary health care specialty. Tackett-Mirabal, Beth Ann can be contacted via phone (972) 874-2407.Contact Information
Primary practice address
1025 Long Prairie Rd Ste 100
Flower Mound TX 75022-4346
Phone: (972) 874-2407
Fax: (972) 874-2733
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Ophthalmic | 163WX1100X | 723934 | Texas |
Profile Details
NPI number | 1023862232 |
---|---|
LBN Legal business name | Tackett-Mirabal, Beth Ann |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 15th, 2024 |
Last updated | Apr 15th, 2024 - about last year |
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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