Healthcare Provider Details

I. General information

NPI: 1912825779
Provider Name (Legal Business Name): ZYVORA MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11111 KATY FWY STE 95
HOUSTON TX
77079-2113
US

IV. Provider business mailing address

11111 KATY FWY STE 910
HOUSTON TX
77079-2119
US

V. Phone/Fax

Practice location:
  • Phone: 832-571-6178
  • Fax:
Mailing address:
  • Phone: 832-571-6178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ABDUL ISMAIL KHAN
Title or Position: OWNER
Credential:
Phone: 832-571-6178