MEDICARE: AVMD PLLC

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	207QS0010X	Sports Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1306732912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVMD PLLC

Provider Business Mailing Address
First Line	:	1039 IMPERIAL BLVD STE 303
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-3102
Country	:	US
Telephone Number	:	713-587-6764
Fax Number	:	346-577-8121

Provider Business Practice Location Address
First Line	:	1039 IMPERIAL BLVD STE 303
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-3102
Country	:	US
Telephone Number	:	713-587-6764
Fax Number	:	346-577-8121

Authorized Official
Title or Position	:	OWNER
Name	:	ASHISH VALA
Credential	:	MD
Telephone Number	:	713-587-6764

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	04/01/2026

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