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Organization

LEO W MACK JR MD PA

Active
Other names
Leo W Mack Jr MD PA
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHARI LYNN WILLIAMS (ADMINISTRATOR)
(903) 630-7007
Entity
Organization

Contact information

Practice address
5791 NEW COPELAND RD, TYLER, TX 75703-3905
(903) 630-7007
(903) 630-7072
Mailing address
5791 NEW COPELAND RD, TYLER, TX 75703-3905
(903) 630-7007
(903) 630-7072

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007870
TX

Other

Enumeration date
05/14/2008
Last updated
12/09/2025
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