Individual
TRACY T MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 EAST 6TH STREET, TEXARKANA, AR 71854
(870) 779-6004
(870) 779-6119
Mailing address
300 EAST 6TH STREET, TEXARKANA, AR 71854
(870) 779-6004
(870) 779-6119
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
64851
CT
207P00000X
Emergency Medicine Physician
67268
GA
207P00000X
Emergency Medicine Physician
E-6786
AR
207P00000X
Emergency Medicine Physician
Primary
R4528
TX
Other
Enumeration date
07/01/2008
Last updated
06/24/2024
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