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Dr. Shane M Tackitt, DO
Internal Medicine Physician in Mansfield, Texas
NPI 1588035976

Shane M Tackitt is a Internal Medicine Physician based in Mansfield, TX. Shane M Tackitt practices in Mansfield, TX and has the professional credentials of DO. The NPI Number for Shane M Tackitt is 1588035976 and holds a License No. S5274 (Texas).

The current practice location address for Shane M Tackitt is 2700 E Broad St, Mansfield, TX and can be reached out via phone at 682-242-6470 and via fax at 682-622-2092.

Location: 2700 E Broad St, Mansfield, TX, 76063-5899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588035976
Provider Name
Shane M Tackitt
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2700 E Broad St, Mansfield, TX, 76063-5899
Phone Number
682-242-6470
Fax Number
682-622-2092
Provider Enumeration Date
10/12/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2700 E Broad St
City
Mansfield
State
Texas
Zip
76063-5899
Phone Number
682-242-6470
Fax Number
682-622-2092
person
Provider Business Mailing Address Details
Address
2700 E Broad St
City
Mansfield
State
Texas
Zip
76063-5899
Phone Number
682-242-6470
Fax Number
682-622-2092
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
BP10058725 (Texas)
Definition
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 medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Hospitalist
Speciality
-
Taxonomy
208M00000X
License No.
(Washington)
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S5274 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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