Individual
TANYA MARIE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6700 MD ANDERSON BLVD., BLDG. 10, HOUSTON, TX 77030-3303
(713) 795-5380
(713) 795-5962
Mailing address
6700 M.D. ANDERSON BLVD., BLDG. 10, HOUSTON, TX 77030-3303
(713) 795-5380
(713) 795-5962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
501434
TX
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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