Individual
PAUL K MALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3705 MEDICAL PKWY STE 570, AUSTIN, TX 78705-1024
(512) 454-2554
Mailing address
PO BOX 840853, DALLAS, TX 75284-1024
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP134259
TX
Other
Enumeration date
06/27/2017
Last updated
06/22/2020
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