# MEDULLA INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619779261
- **Authorized official:** MR. MUZZUMMIL PERVAIZ KHAN DR. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (832) 525-3533

## Contact information

- **Practice address:** 6430 RICHMOND AVE SUITE \#275, HOUSTON, TX 77057-5917
- **Practice address phone:** (835) 230-0046
- **Mailing address:** 6430 RICHMOND AVE SUITE \#275, HOUSTON, TX 77057-5917
- **Mailing address phone:** (835) 230-0046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2025
- **Last updated:** 03/25/2025