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

Gregory Mallett

Individual provider Certified Registered Nurse Anesthetist · NPI 1093085193

Gregory Mallett is a Certified Registered Nurse Anesthetist (CRNA) in Tyler, Texas. Qualified in 2011, 15 years ago. Practices with Northstar Anesthesia III PA, a 399-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
15
Licensed in
LA, TX
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

800 E Dawson St
Tyler, TX 75701
Phone: (903) 606-4522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4502 Medical Dr, San Antonio, TX 78229-4402 — (210) 358-4000
  • 800 E Dawson St, Tyler, TX 75701 — (903) 606-4522

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 826622 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN117800 (LA)

Record details

NPI number1093085193
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 5, 2012
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing addressPo Box 841656, Dallas, TX 75284-1656

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Northstar Anesthesia Iii Pa — 399 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Tyler