Individual
MS. FLORASTINE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1101 S MAIN ST, FORT WORTH, TX 76104-4802
(817) 321-5307
(817) 321-5338
Mailing address
1101 S MAIN ST, FORT WORTH, TX 76104-4802
(817) 321-5307
(817) 321-5338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
549605
TX
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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