Individual provider · Type 1 NPI

Sonya Mack, PA-C

Medical Physician Assistant · Dallas, TX

NPI number 1558059402 Active

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Call (214) 456-7000 Map

Mailing address

6812 Riverridge Rd
Fort Worth, TX 76116-9355

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA16793 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1558059402

Sonya Mack, PA-C's National Provider Identifier is 1558059402, issued on Apr 28, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Apr 28, 2023.