P Praxis·MD
● Active Type 1 · Individual

Shaniqua La'Shae MacK

Specialist/Technologist·Carthage, TX· NPI 1235839093 · Enumerated 2023 · 3 years on NPI
MacK is 1 of 2 specialist/technologist providers in Carthage and 1 of 3379 in Texas.
NPI age
3 years
Enumerated 2023-03-09
Primary specialty
Specialist/Technologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3379 active specialist/technologist providers in Texas.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
2% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Practice location
211 County Road 2781
Carthage, TX 756336194
📞 9037540059
Mailing address
211 County Road 2781
Carthage, TX 756336194
📞 9037540059

Specialties

  • Specialist/Technologist Primary
    Definition to come...
    TX license #43026 taxonomy 2355S0801X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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