Mallory Carrasco, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA08671 Issued in TX

Practice address

2626 S Loop W Ste 265
Houston, TX 77054-5636

Phone

(713) 796-9955

Fax

(281) 754-4524

NPI assigned

Oct 30, 2013

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mallory Durst Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trumen Physician and Associates Post Acute PLLCGroup PAC ID 5496236788, 127 clinicians

Trumen Physicians and Associates PLLCGroup PAC ID 7618006883, 133 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trumen Physician and Associates Post Acute PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1316801004
  Medicare reassignment Care Compare group
• Trumen Physicians and Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1134442320
  Medicare reassignment Care Compare group
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  Medicare reassignment
• Spangler Medical Enterprises PA

  dba Bay Area House Calls

  • Family Medicine Physician
  • Dickinson, TX
  • NPI 1912134768
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1891123758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545636",
            "telephone_number": "713-796-9955",
            "fax_number": "281-754-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545636",
            "telephone_number": "713-796-9955",
            "fax_number": "281-754-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "MALLORY",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333252001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m.durst@trumengroup.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2626 S Loop W Ste 265",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770545636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "DURST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valeria Carranza
• Cinthya Adriana Carrasco Barcenas, MD
• Anais Carrasco, FNP-C
• Kasandra Carrasco
• Leo Adrian Carrasco, FNP-C
• Sandra Flores Carrasco, SLP
• Yolanda Garcia Carrasco, M.S., CCC/SLP
• Elsie Carrasquillo, DO
• Debra Carraway, LCDC
• Yoandre Michel Carrazana Perez, SA-C

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.