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NPI Code Detail

MEDICARE: AVANTE HOUSTON OPERATIONS INC

MEDICARE: AVANTE HOUSTON OPERATIONS INC
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1750907408
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVANTE HOUSTON OPERATIONS INC
Provider Business Mailing Address
First Line : 9722 GASTON RD STE 150-90
Second Line :
City : KATY
State : TX
Zip : 77494-7941
Country : US
Telephone Number : 281-888-0611
Fax Number :
Provider Business Practice Location Address
First Line : 11111 KATY FWY STE 910
Second Line :
City : HOUSTON
State : TX
Zip : 77079-2119
Country : US
Telephone Number : 281-888-0611
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. MANUEL A PADILLA
Credential :
Telephone Number : 281-888-0611
Provider Enumeration Date : 06/18/2020
Last Update Date : 05/09/2023

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Directions to “AVANTE HOUSTON OPERATIONS INC ” Practice Location

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