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Contact Information

JOEL D MACK, NP
3515 RICHMOND RD
TEXARKANA, TX75503
 Phone: 903-791-9355
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JOEL D MACK · (Male)

NPI # 1649335233
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 12/26/2006
Last updated 05/10/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • TX License # 618334
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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