Individual provider · Type 1 NPI

Mallory Carrasco, P.A.-C

Medical Physician Assistant · Houston, TX

NPI number 1891123758 Active

Practice location

2626 S Loop W Ste 265
Houston, TX 77054-5636

Fax (281) 754-4524

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA08671 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1891123758

Mallory Carrasco, P.A.-C's National Provider Identifier is 1891123758, issued on Oct 30, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Houston, TX. The record was last updated on Aug 9, 2023.