# WHACKY WOLVERINE INC

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

## Provider details

- **NPI number:** 1982460226
- **Authorized official:** ALI MEHBOOB (CEO)
- **Authorized official phone:** (346) 392-3277

## Contact information

- **Practice address:** 10350 LANDS END DR APT 1801, HOUSTON, TX 77099-3426
- **Practice address phone:** (346) 392-3277
- **Mailing address:** 10350 LANDS END DR APT 1801, HOUSTON, TX 77099-3426
- **Mailing address phone:** (346) 392-3277

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2024
- **Last updated:** 02/23/2024