Organization
NEBULA IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAULIK PANCHOLI (CEO)
(678) 687-8393
Entity
Organization
Contact information
Practice address
910 N HIGHWAY 146 FRONTAGE, HOUSTON, TX 77258-0526
(678) 687-7494
(281) 837-7573
Mailing address
PO BOX 580526, HOUSTON, TX 77258-0526
(678) 687-7494
(281) 837-7573
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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