# NEBULA IMAGING CENTER LLC

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

## Provider details

- **NPI number:** 1881492106
- **Authorized official:** MAULIK PANCHOLI (CEO)
- **Authorized official phone:** (678) 687-8393

## Contact information

- **Practice address:** 910 N HIGHWAY 146 FRONTAGE, HOUSTON, TX 77258-0526
- **Practice address phone:** (678) 687-7494
- **Practice address fax:** (281) 837-7573
- **Mailing address:** PO BOX 580526, HOUSTON, TX 77258-0526
- **Mailing address phone:** (678) 687-7494
- **Mailing address fax:** (281) 837-7573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2025
- **Last updated:** 03/04/2025