MALLORY ESTILL MULLINS (NPI# 1669811212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669811212 |
| Entity Type | Individual |
| Full Name | MALLORY ESTILL MULLINS |
| Credential | NP |
| Practice Address |
21700 Kingsland Blvd Ste 203 Katy TX 77450 |
| Mailing Address |
21700 Kingsland Blvd Ste 203 Katy TX 77450-2547 |
| Practice Telephone | 2813982140 |
| Practice Fax Number | 2813980017 |
| Mailing Telephone | 2813982140 |
| Mailing Fax Number | 2813980017 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
764917 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAILROAD | P01217379 | 01 |
| TX | 322429701 | 05 | |
| TX | BCBSTX | 8202NC | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11920 Astoria Blvd, Ste 292, Houston, TX 770896097 | 2819294335 | 2819294339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992209324 | Mallory Nicole Mullins | Nurse Practitioner | 3175 Beaumont Centre Cir, Lexington, KY 40513-1957 | 2018-03-21 |
| Street Address |
21700 KINGSLAND BLVD STE 203 |
| City | KATY |
| State | TX |
| Zip Code | 77450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700049582 | Mai T Vu | Obstetrics & Gynecology | 21700 Kingsland Blvd Ste 203, Katy, TX 77450-2547 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245959 | Jerlys Suarez Lopez | Nurse Practitioner | 3810 N. Fry, Ste. 118, Katy, TX 77084 | 2020-11-02 |
| 1265049522 | Jenna Nazminia | Nurse Practitioner | 1615 Barrington Hills Ln, Katy, TX 77450-3686 | 2020-09-29 |
| 1235746728 | Laquinta Hampton | Nurse Practitioner | 24949 Katy Ranch Rd Apt 1712, Katy, TX 77494-7198 | 2020-09-28 |
| 1124633409 | Courtney Oyerbides | Nurse Practitioner | 2103 Blue Water Bay Dr, Katy, TX 77494-6224 | 2020-09-13 |
| 1912519679 | Tiffany Marie Falcon | Nurse Practitioner | 6855 S Mason Rd Apt 12105, Katy, TX 77450-1227 | 2020-08-23 |
| 1639789662 | Augustina C Okoronkwo | Nurse Practitioner | 18906 Hayes Grove Ln, Katy, TX 77449-1680 | 2020-08-04 |
| 1730706953 | Erliz Jessenia Maldonado | Nurse Practitioner | 3919 N Fry Road, Katy, TX 77449 | 2020-07-03 |
| 1609490168 | Ifeyinwa Peggy Eribenne | Nurse Practitioner | 24758 Grand Harbor Dr Apt 1601, Katy, TX 77494-0879 | 2020-06-01 |
| 1831710748 | Ibimina Fiberesima | Nurse Practitioner | 24522 Folkstone Cir, Katy, TX 77494-7601 | 2020-05-01 |
| 1457989998 | Anita Helen Cervantes | Nurse Practitioner | 23722 Indian Hills Way, Katy, TX 77494-2827 | 2020-03-30 |
| Find all providers in KATY | ||||
Please comment or provide details below to improve the information on MALLORY ESTILL MULLINS.
| 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.