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

Mallory Wyrick, PA-C

Individual provider Physician Assistant · NPI 1184487407

Mallory Wyrick, PA-C is a Physician Assistant in Fort Worth, Texas. Qualified in 2023, 3 years ago. Practices with Dallas Nephrology Associates, a 154-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1250 8th Ave Ste 135
Fort Worth, TX 76104-4156
Phone: (214) 358-2300
Fax: (214) 579-6993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17629 (TX)

Record details

NPI number1184487407
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 31, 2024
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dallas Nephrology Associates — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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