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Individual
DR. STEPHEN ALEXANDER MACK
Active
Individual
DR. STEPHEN ALEXANDER MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP; PMHNP-C
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9319
TX
111NR0400X
Rehabilitation Chiropractor
9319
TX
111NS0005X
Sports Physician Chiropractor
9319
TX
363L00000X
Nurse Practitioner
AP128914
TX
363LF0000X
Family Nurse Practitioner
Primary
AP128914
TX
Other
Enumeration date
04/04/2007
Last updated
08/31/2023
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