Individual
MRS. AMY CHRISTINE TACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1011 MATLOCK RD, MANSFIELD, TX 76063-3443
(817) 225-6888
(817) 377-6570
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 377-6570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP132929
TX
Other
Enumeration date
01/04/2017
Last updated
11/15/2023
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