Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samuel Andrew Mack, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902646094

Dr. Samuel Andrew Mack, MD is a Student in an Organized Health Care Education/Training Program in Tyler, Texas. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 597-0351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1902646094
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 28, 2024
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

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