Individual provider · Type 1 NPI

Matt Mackler

Student in an Organized Health Care Education/Training Program · Tyler, TX

NPI number 1548028350 Active

Practice location

1000 S Beckham Ave
Tyler, TX 75701-1908

Call (903) 594-2269 Map

Mailing address

8017 County Road 3120 N
Kilgore, TX 75662-7514

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1548028350

Matt Mackler's National Provider Identifier is 1548028350, issued on Mar 7, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tyler, TX. The record was last updated on Mar 30, 2026.