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1215536537
TANNER LEE MACKAY
NEW BRAUNFELS, TX
NPI
1215536537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1016749)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
TANNER LEE MACKAY FNP-C
555 CREEKSIDE XING
NEW BRAUNFELS, TX 78130-2594
Phone number: 830-500-6650
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Mailing Address
TANNER LEE MACKAY FNP-C
3919 CANYON PKWY
SAN ANTONIO, TX 78259-2253
Phone number:
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