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Individual

DR. ROBERT MACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5508 SUMMERHILL RD, TEXARKANA, TX 75503-1822
(903) 792-1292
(903) 792-2051
Mailing address
PO BOX 1831, TEXARKANA, TX 75504-1831
(903) 792-1292
(903) 792-2051

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D9029
TX

Other

Enumeration date
08/04/2005
Last updated
07/08/2007
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