MATT MACKLER
NPI 1548028350
Student in an Organized Health Care Education/Training Program in Tyler, TX

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 07, 2024

1000 S BECKHAM AVE, TYLER, TX 75701(903) 594-2269 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 30, 2026, Mar 7, 2024 (2 updates tracked since 2024).

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About Matt Mackler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATT MACKLER (NPI 1548028350) is an individual student in an organized health care education/training program in Tyler, Texas and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1548028350

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATT MACKLER

Location Address1000 S BECKHAM AVETyler, TX 75701-1908

Mailing Address8017 County Road 3120 NKilgore, TX 75662-7514 · (253) 225-4646

Phone(903) 594-2269

Sole ProprietorNo

Enumeration DateMarch 7, 2024

Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1548028350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

1000 S BECKHAM AVE, Tyler, TX 75701

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