Mallory Nicole Young, PA
Physician Assistant in Houston, TX. Individual provider (NPI-1).
NPI number1891231007
StatusActive
Last updated in NPPESMar 17, 2026
Details
- NPI
- 1891231007
- Entity type
- Individual (NPI-1)
- Name
- Mallory Nicole Young
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2017
- Certification date
- Mar 17, 2026
- Last updated
- Mar 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA11123 | TX | Yes |
Practice location
5656 Kelley St # 1ec1347Houston, TX 77026-1967
Phone 713-500-7885
Mailing address
6431 Fannin StHouston, TX 77030-1501
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