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Hileen E Mallory, PA
Medical Physician Assistant in Kermit, Texas
NPI 1831172873

Hileen E Mallory is a Medical Physician Assistant based in Kermit, TX and is specialized in Medical. Hileen E Mallory practices in Kermit, TX and has the professional credentials of PA. The NPI Number for Hileen E Mallory is 1831172873 and holds a License No. MA003289L (Texas).

The current practice location address for Hileen E Mallory is 828 Myer Ln, Kermit, TX and can be reached out via phone at 432-586-2040.

Location: 828 Myer Ln, Kermit, TX, 79745-4634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831172873
Provider Name
Hileen E Mallory
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
828 Myer Ln, Kermit, TX, 79745-4634
Phone Number
432-586-2040
Fax Number
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
828 Myer Ln
City
Kermit
State
Texas
Zip
79745-4634
Phone Number
432-586-2040
Fax Number
person
Provider Business Mailing Address Details
Address
828 Myer Ln
City
Kermit
State
Texas
Zip
79745-4634
Phone Number
432-586-2040
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA003289L (Pennsylvania)
Definition
Definition to come...
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