Individual
BETH ANN TACKETT-MIRABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1025 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75022-4346
(972) 874-2407
(972) 874-2733
Mailing address
1025 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75022-4346
(972) 874-2407
(972) 874-2733
Taxonomy
Speciality
Code
Description
License number
State
163WX1100X
Ophthalmic Registered Nurse
Primary
723934
TX
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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