MEDICARE: MUDITA WELLNESS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WD0400X	Diabetes Educator Registered Nurse
2	363L00000X	Nurse Practitioner
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1841130770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUDITA WELLNESS

Provider Business Mailing Address
First Line	:	23012 PAMPAS ST
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-3548
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5220 FM 2920 RD STE 501
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3003
Country	:	US
Telephone Number	:	716-909-6965
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MOHAMMAD HUSSAIN
Credential	:
Telephone Number	:	716-909-6965

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “MUDITA WELLNESS ” Practice Location

Language	Start Address	Practice Location

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