P Praxis·MD
● Active Type 1 · Individual

Sandra Lynne Mallisham, FPMHNP-BC

Nurse Practitioner·San Antonio, TX· NPI 1053683102 · Enumerated 2012 · 14 years on NPI
Mallisham is 1 of 351 nurse practitioner providers in San Antonio and 1 of 5095 in Texas.
NPI age
14 years
Enumerated 2012-02-06
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-02-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5095 active nurse practitioner providers in Texas.

NPI age
14 years
↑ 10 yr above median (4 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-02Enumerated in NPPES
2012 2026

Where they practice

Practice location
2040 Babcock Rd, Suite 403
San Antonio, TX 782294425
📞 2108589980fax 2108589990
Mailing address
2040 Babcock Rd, Suite 403
San Antonio, TX 782294425
📞 2108589980fax 2108589990

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #700915 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.

Recently enumerated nearby: 21 new nurse practitioner providers have been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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