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Mallory Fernandez, PNP
Pediatric Nurse Practitioner in Houston, Texas
NPI 1760806186

Mallory Fernandez is a Pediatric Nurse Practitioner based in Houston, TX and is specialized in Pediatrics. Mallory Fernandez practices in Houston, TX and has the professional credentials of PNP. The NPI Number for Mallory Fernandez is 1760806186 and holds a License No. 848372 (Texas).

The current practice location address for Mallory Fernandez is 6701 Fannin St, Houston, TX and can be reached out via phone at 832-824-1000.

Location: 6701 Fannin St, Houston, TX, 77046-0297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760806186
Provider Name
Mallory Fernandez
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
6701 Fannin St, Houston, TX, 77046-0297
Phone Number
832-824-1000
Fax Number
Provider Enumeration Date
02/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
848372 01 TX LICENSE
institution
Provider Business Practice Location Address Details
Address
6701 Fannin St
City
Houston
State
Texas
Zip
77030-2608
Phone Number
832-824-1000
Fax Number
person
Provider Business Mailing Address Details
Address
6701 Fannin St
City
Houston
State
Texas
Zip
77030-2608
Phone Number
832-824-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
848372 (Texas)
Definition
Definition to come...
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