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1568177749
TERRY TACK
SAN ANTONIO, TX
NPI
1568177749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1107931)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
Mr. TERRY TACK PMHNP-BC
17720 CORPORATE WOODS DR
SAN ANTONIO, TX 78259-3500
Phone number: 210-491-9400
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Mailing Address
Mr. TERRY TACK PMHNP-BC
17720 CORPORATE WOODS DR
SAN ANTONIO, TX 78259-3500
Phone number: 210-491-9400
Copy
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