Individual provider · Type 1 NPI
Hileen E. Mallory, PA
Medical Physician Assistant · Kermit, TX
NPI number
1831172873
Active
Practice location
828 Myer Ln
Kermit, TX 79745-4634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA003289L (PA) |
| Medical Physician Assistant Primary | 363AM0700X | PA09912 (TX) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
About NPI 1831172873
Hileen E. Mallory, PA's National Provider Identifier is 1831172873, issued on Nov 23, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kermit, TX. The record was last updated on Sep 8, 2015.