MEDICARE: UZMA MULLA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	67916	TX

General Provider Information

NPI Number	:	1336802628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UZMA MULLA

Provider Business Mailing Address
First Line	:	1435 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-2616
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-2616
Country	:	US
Telephone Number	:	713-391-8990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2021
Last Update Date	:	10/14/2021

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Directions to “ UZMA MULLA ” Practice Location

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