Doctor profile · Federal record
Dr. Samuel Mack, MD
Student in an Organized Health Care Education/Training Program · Tyler, TX
- NPI 1902646094
- 2 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1000 S Beckham Ave
Tyler, TX 757011908
(903) 597-0351 - Mailing address
-
2740 Royal Village Way
Tyler, TX 757015857
Credentials & registration
- NPI registered
- May 2024 — 2 yrs on file
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902646094. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$77
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 1 | $77.01 |
By nature of payment
Frequently asked questions
What is Dr. Samuel Mack's medical specialty?
Dr. Samuel Mack practices Student in an Organized Health Care Education/Training Program in Tyler, TX.
Where does Dr. Samuel Mack practice?
Dr. Samuel Mack practices at 1000 S Beckham Ave, Tyler, TX 757011908. Office phone: 9035970351.
What is Dr. Samuel Mack's NPI?
Dr. Samuel Mack's National Provider Identifier (NPI) is 1902646094, issued by NPPES.