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1902646094
SAMUEL ANDREW MACK
TYLER, TX
NPI
1902646094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
Dr. SAMUEL ANDREW MACK MD
1000 S BECKHAM AVE
TYLER, TX 75701-1908
Phone number: 903-597-0351
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Mailing Address
Dr. SAMUEL ANDREW MACK MD
2740 ROYAL VILLAGE WAY
TYLER, TX 75701-5857
Phone number: 903-736-2047
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