Healthcare Provider Details

I. General information

NPI: 1225267412
Provider Name (Legal Business Name): ASHISH K VALA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1429 HIGHWAY 6 STE 304
SUGAR LAND TX
77478-5135
US

IV. Provider business mailing address

11645 S HIGHWAY 6 # 5010
SUGAR LAND TX
77498-1302
US

V. Phone/Fax

Practice location:
  • Phone: 346-577-8252
  • Fax: 346-577-8121
Mailing address:
  • Phone: 713-587-6764
  • Fax: 346-521-2175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberBP10035426
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberP7997
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: