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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 years 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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