Dr. Shane M Tackitt, DO
Dr. Shane M Tackitt, DO is an Internal Medicine in Mansfield, Texas. Qualified in 2017, 9 years ago. Practices with Lonestar Hospital Medicine Associates PA, a 124-clinician group and accepts Medicare assignment. Licensed in Texas and Washington.
- Years since qualifying
- 9
- Licensed in
- TX, WA
- In the registry since
- 2015
- Specialties on file
- 5
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
2700 E Broad StMansfield, TX 76063-5899
Phone: (682) 242-6470
Fax: (682) 622-2092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence S5274 (TX) |
|---|---|
| Hospitalist Physician | Taxonomy 208M00000X · Licence S5274 (TX) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (WA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence BP10058725 (TX) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence S5274 (TX) |
Record details
| NPI number | 1588035976 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | October 12, 2015 |
| Last updated in NPPES | July 1, 2020 |
| Certification date | July 1, 2020 |
| Mailing address | 2700 E Broad St, Department Internal Medicine, Mansfield, TX 76063-5899 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Lonestar Hospital Medicine Associates Pa — 124 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mansfield
-
Dr. Ali Azeem, MD
2700 E Broad St, Mansfield, TX 76063-5899 · (682) 622-2065
-
Hospitalist Partners of Excellence in Mansfield (H O P E), PA
2700 E Broad St, Mansfield, TX 76063-5899 · (682) 622-2000
-
Knd Development 59, LLC
1802 Highway 157 N, Mansfield, TX 76063-3923 · (817) 473-6101
-
Hywel Soney, DO
2700 E Broad St, Mansfield, TX 76063-5899 · (682) 242-2000