NPI age
14 years
Enumerated 2012-01-05
● Active
Type 1 · Individual
Gregory Mallett
Mallett is 1 of 110 nurse anesthetist, certified registered providers in Tyler and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
TX, LA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
14 years
≈ at median (13 yr)
State licenses
2 states
Top 84% — 16% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-01Enumerated in NPPES
2012
2026
Where they practice
Practice location
800 E Dawson St
Tyler, TX 75701
Mailing address
Po Box 841656
Dallas, TX 752841656
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
800 E Dawson St
Tyler, TX 75701
Location 3
4502 Medical Dr
San Antonio, TX 782294402
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2771569-008 | TRICARE |
| 01 (TX) | 8683UK | BCBS |
| 01 (TX) | P02245621 | MEDICARE RAIL ROAD |
| 05 (TX) | 314440403 | |
| 01 (TX) | 314440406 | MEDICARE |
| 01 (TX) | 8JM831 | BCBS |
| 01 (TX) | 799488 | MEDICARE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.