Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carl G Mallett, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1104806124

Carl G Mallett, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lake Charles, Louisiana. Qualified in 2001, 25 years ago. Practices with Glen D. Hurlston, MD, APMC, a 26-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
25
Licensed in
LA
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1128 Hidden Oak Ln
Lake Charles, LA 70605-7123
Phone: (337) 478-1085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 03828 (LA)

Record details

NPI number1104806124
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 17, 2006
Last updated in NPPESSeptember 22, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Glen D. Hurlston, M.D., Apmc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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