Individual provider · Type 1 NPI

Shane M. Tackitt, DO

Internal Medicine Physician · Mansfield, TX

NPI number 1588035976 Active

Practice location

2700 E Broad St
Mansfield, TX 76063-5899

Call (682) 242-6470 Map

Fax (682) 622-2092

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000XS5274 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XBP10058725 (TX)
Student in an Organized Health Care Education/Training Program 390200000XS5274 (TX)
Internal Medicine Physician Primary 207R00000XS5274 (TX)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1588035976

Shane M. Tackitt, DO's National Provider Identifier is 1588035976, issued on Oct 12, 2015. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Mansfield, TX. The record was last updated on Jul 1, 2020.