Individual
BRIAN MATTHEW TACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARL R. DARNALL AMC 590 MEDICAL CENTER ROAD, FORT HOOD, TX 76544
(254) 288-8000
Mailing address
340 ARNOLD DR UNIT A, BELTON, TX 76513-6031
(415) 724-4708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13457656-9926
UT
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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