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NPI Code Detail

MEDICARE: VIVIAN YAWO MALLET

MEDICARE: VIVIAN YAWO MALLET
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner798637TX

General Provider Information

NPI Number : 1356202329
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN YAWO MALLET
Provider Business Mailing Address
First Line : 920 FROSTWOOD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2314
Country : US
Telephone Number : 281-540-8409
Fax Number :
Provider Business Practice Location Address
First Line : 18951 N MEMORIAL DR STE 103W
Second Line :
City : HUMBLE
State : TX
Zip : 77338-4217
Country : US
Telephone Number : 281-540-8409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2025
Last Update Date : 05/18/2026

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Directions to “ VIVIAN YAWO MALLET ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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