Healthcare Provider Details

I. General information

NPI: 1720253115
Provider Name (Legal Business Name): HEATHER BROOKS AVELAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 MAIN ST STE 300
HOUSTON TX
77030-4523
US

IV. Provider business mailing address

104 WHISPERING PINES AVE
FRIENDSWOOD TX
77546-4911
US

V. Phone/Fax

Practice location:
  • Phone: 281-885-8469
  • Fax:
Mailing address:
  • Phone: 713-429-5325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR1494
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberR1494
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: