Provider Demographics
NPI:1770868663
Name:MULLASSERY, DAISY GEORGE (DRNP)
Entity Type:Individual
Prefix:DR
First Name:DAISY
Middle Name:GEORGE
Last Name:MULLASSERY
Suffix:
Gender:F
Credentials:DRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26015 GALENA STONE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2608
Mailing Address - Country:US
Mailing Address - Phone:267-342-1117
Mailing Address - Fax:
Practice Address - Street 1:6410 FANNIN ST STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3014
Practice Address - Country:US
Practice Address - Phone:713-500-3267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123473363L00000X, 363LW0102X
PASP 011058363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner