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Individual

JAMES ANTHONY TAGLE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNP

Contact information

Practice address
3540 E BROAD ST STE 120-141, MANSFIELD, TX 76063-5633
(915) 887-1740
(682) 227-2918
Mailing address
3540 E BROAD ST STE 120-141, MANSFIELD, TX 76063-5633
(915) 887-1740
(682) 227-2918

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
675960
TX

Other

Enumeration date
12/13/2012
Last updated
07/18/2024
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