Individual provider Active NPI

Maylin Jurado Carballo

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1942700604
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1037170 Issued in TX
Practice address
11422 Southwest Fwy Ste 400
Houston, TX 77031-3623
Phone
(281) 835-4048
Fax
(281) 407-9228
NPI assigned
Feb 19, 2018
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1037170 TX Primary
Registered Nurse 163W00000X 920251 TX

Addresses

Primary practice location

11422 Southwest Fwy Ste 400
Houston, TX 77031-3623

Mailing address

11422 Southwest Fwy Ste 400
Houston, TX 77031-3623
Phone (786) 230-7510

Other practice location 1

2687 S Texas 6
Houston, TX 77082
Phone (346) 374-7781 ext. 07997

Other practice location 2

511 S Gordon St
Alvin, TX 77511-2838
Phone (281) 245-6795

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260408002540 TX Practitioner - Nurse Practitioner 1052886934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11422 Southwest Fwy
Suite 400
Houston, TX 77031

2411 Cooling Breeze Dr
Richmond, TX 77406-6895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
920251TXMDRegistered Nurse
1037170TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jurado Family Clinic, LLC Family CurrentSince Jul 24, 2022 Accepting new patients

Locations

511 S Gordon St
Alvin, TX 77511
Phone (281) 331-0333

11422 Southwest Fwy
Ste 400
Houston, TX 77031
Phone (281) 835-4048

2687 Highway 6 S
Houston, TX 77082
Phone (346) 374-7781

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1942700604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11422 SOUTHWEST FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313623",
            "telephone_number": "786-230-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11422 SOUTHWEST FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313623",
            "telephone_number": "281-835-4048",
            "fax_number": "281-407-9228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2687 S Texas 6",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77082",
            "country_code": "US",
            "telephone_number": "346-374-7781 x07997",
            "fax_number": "281-849-9947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 S Gordon St",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "775112838",
            "country_code": "US",
            "telephone_number": "281-245-6795",
            "fax_number": "281-245-6793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURADO CARBALLO",
        "first_name": "MAYLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1037170",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "920251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.