IndividualActive
Hileen Mallory, PA
NPI 1831172873 · Medical Physician Assistant · Kermit, TX
Provider details
- NPI number
- 1831172873
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- MA003289L (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
828 Myer Ln
Kermit, TX 79745-4634
Phone: (432) 586-2040
Approximate (ZIP-level) locationGet directions
Mailing address
828 Myer Ln
Kermit, TX 79745-4634
Registry dates
- Enumerated
- 2005-11-23
- Last updated
- 2015-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.