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

Matthew Scott Mackrell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760876916

Matthew Scott Mackrell is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-3431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence R0610 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (TX)

Record details

NPI number1760876916
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESJune 2, 2017
Mailing address1500 S Main St, Fort Worth, TX 76104-4917

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