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1891123758
MALLORY CARRASCO
HOUSTON, TX
NPI
1891123758
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Former Name
MALLORY DURST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA08671)
Enumeration Date
2013-10-30
Last Update Date
2023-08-09
Business Address
Ms. MALLORY CARRASCO P.A.-C
2626 S LOOP W STE 265
HOUSTON, TX 77054-5636
Phone number: 713-796-9955
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Mailing Address
Ms. MALLORY CARRASCO P.A.-C
2626 S LOOP W STE 265
HOUSTON, TX 77054-5636
Phone number: 713-796-9955
Copy
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