Individual provider · NPI-1

Tracy T Mack, MD

Emergency Medicine · Texarkana, AR

NPI number1982866935
StatusActive
Last updated in NPPESJun 24, 2024

Details

NPI
1982866935
Entity type
Individual (NPI-1)
Name
Tracy T Mack
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 1, 2008
Certification date
Jan 25, 2024
Last updated
Jun 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineR4528TXYes
207P00000X Emergency Medicine67268GA
207P00000X Emergency Medicine64851CT
207P00000X Emergency MedicineE-6786AR

Practice location

300 East 6th Street
Texarkana, AR 71854

Phone 870-779-6004 · Fax 870-779-6119

Mailing address

300 East 6th Street
Texarkana, AR 71854

Phone 870-779-6004 · Fax 870-779-6119

Other practice locations

Lredg
3050 Twin Rivers Dr
Arkadelphia, AR 71923

Phone 870-245-1100 · Fax 870-245-2377

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