MS. MALLORY DURST


Address: 2626 S Loop W Ste 265, Houston, TX 77054-5636
Phone: 7137969955

MS. MALLORY DURST (NPI# 1891123758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891123758
Entity Type Individual
Full Name MS. MALLORY DURST
Credential P.A.-C
Practice Address 2626 S Loop W Ste 265
Houston
TX 77054-5636
Practice Telephone 7137969955
Practice Fax Number 2817544524
Mailing Telephone 7137969955
Mailing Fax Number 2817544524
Enumeration Date 2013-10-30
Last Update Date 2020-04-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 333252001 05

Office Location

Street Address 2626 S LOOP W STE 265
City HOUSTON
State TX
Zip Code 77054-5636

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144219858 Roberto J Hernandez Internal Medicine 2626 S Loop W Ste 265, Houston, TX 77054 2005-10-14
1598398422 Dalesia Baldwin Nurse Practitioner 2626 S Loop W Ste 265, Houston, TX 77054-5636 2020-02-19
1801429170 Tol Healthcare, LLC Internal Medicine 2626 S Loop W Ste 265, Houston, TX 77054-5636 2020-02-14
1497213052 Hannah Muthondu Nurse Practitioner 2626 S Loop W Ste 265, Houston, TX 77054-5636 2019-03-03
1588152656 Naana Kessey Nurse Practitioner 2626 S Loop W Ste 265, Houston, TX 77054-5636 2018-04-24
1952803959 Sunitha Hari Nurse Practitioner 2626 S Loop W Ste 265, Houston, TX 77054-5636 2018-03-06
1932629813 Joyce Kennedy Nurse Practitioner 2626 S Loop W Ste 265, Houston, TX 77054-5636 2017-06-22
1659745917 Terence A Achuo Nurse Practitioner 2626 S Loop W Ste 265, Houston, TX 77054-5636 2015-11-23
1548637085 Patricia Garza Nurse Practitioner 2626 S Loop W Ste 265, Houston, TX 77054 2015-09-01
1447664651 Kavitha Rajan Internal Medicine 2626 S Loop W Ste 265, Houston, TX 77054-5636 2014-06-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467006924 Sphinx Pharmacy Group Webster Inc Pharmacy 2656 S Loop W Suite 275, Houston, TX 77054 2019-08-01
1164076618 Pearland Unicare Pharmacy LLC Pharmacy 7400 Fannin Street Suite 120, Houson, TX 77054 2019-08-01
1144873092 Megan Hoenig Genetic Counselor, MS 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 2019-07-19
1043781701 Lisa Vercellino Salazar Nurse Practitioner The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 2018-12-06
1619447257 Karee Harris Specialist/Technologist, Other 7400 Fannin St Suite 850 Tx, Houston, TX 77054 2018-11-27
1245715374 Van Hoai Thi Hoang Pharmacist 2525a Holly Hall, Houston, TX 77054 2018-09-25
1093294639 Yolanda Williams-vasquez Licensed Vocational Nurse 3131 W Bellfort Ave, Houston, TX 77054 2018-08-13
1104304542 Reji Mammen Dentist 2120 El Paseo St., Apt 2607, Houston, TX 77054 2018-07-28
1912484825 Saeed Yazdianpour Dentist 7600 Cambridge St, Houston, TX 77054 2018-07-24
1811480742 Dominik Andrzej Rudecki Student in an Organized Health Care Education/Training Program 7500 Cambridge St, Suite 6510, Houston, TX 77054 2018-06-14
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619591864 Today Telemedicine Pllc Physician Assistant 404 Oxford St Apt 2219, Houston, TX 77007-2679 2020-06-03
1114558335 Erin Lynn Brown Physician Assistant 1504 Taub Loop Houston, Houston, TX 77030 2020-01-27
1720649478 Teresa Garcia Physician Assistant 12911 Hawthorne Shores Dr, Houston, TX 77044-1258 2019-06-24
1407328578 Brenda Guzman Castillo Physician Assistant 3003 Navigation Boulevard, Houston, TX 77003 2018-12-29
1518442649 Alexander De Jesus Hadded Physician Assistant 3651 Weslayan St Ste 106, Houston, TX 77027-6643 2018-09-25
1003395872 Silas Steven Luna Physician Assistant 427 W 20th St Ste 210, Houston, TX 77008-2400 2018-08-12
1619490901 Dona Le Physician Assistant 11119 Fern Terrace Dr, Houston, TX 77075 2017-07-19
1043761455 Lorena Michelle Sumner-nassif Physician Assistant 9809 Rowlett Rd # A1, Houston, TX 77075-3438 2016-10-20
1851760243 Lauren K Duerst Physician Assistant 6550 Fannin St Ste 1701, Houston, TX 77030-2709 2015-09-16
1982081568 Lundy Saing Physician Assistant 6431 Fannin St Msb 2.130, Houston, TX 77030 2015-05-02
Find all providers in HOUSTON

Competitor

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City HOUSTON
Zip Code 77054

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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