Individual
LANCE MCTAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4843 COLLEYVILLE BLVD STE 500, COLLEYVILLE, TX 76034-3923
(972) 979-6577
Mailing address
71 NOLA RD, SONTAG, MS 39665-5518
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2185673
TX
225200000X
Physical Therapy Assistant
Primary
7076
MS
Other
Enumeration date
07/08/2021
Last updated
07/23/2026
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