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Individual
MALLORY MICHELLE TAYLOR
Active
Individual
MALLORY MICHELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11946
TX
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/02/2018
Last updated
04/23/2026
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