Individual
MS. BRENDA S MALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10435 GREENBOUGH DR STE 300, STAFFORD, TX 77477-5034
(281) 261-0182
Mailing address
400 AUSTIN ST, RICHMOND, TX 77469-4406
(281) 342-4530
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1440
TX
Other
Enumeration date
06/14/2011
Last updated
02/05/2014
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