Individual
MEGAN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665
(512) 509-0100
(512) 218-6330
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S1854
TX
208M00000X
Hospitalist Physician
Primary
S1854
TX
Other
Enumeration date
06/17/2016
Last updated
01/27/2022
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