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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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