MEDICARE: NORTHWEST HOUSTON CENTER FOR RESPIRATORY CARE

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	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1164357372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST HOUSTON CENTER FOR RESPIRATORY CARE

Provider Business Mailing Address
First Line	:	10707 SUNDIAL LUPINE CT
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-8562
Country	:	US
Telephone Number	:	954-235-7865
Fax Number	:

Provider Business Practice Location Address
First Line	:	10707 SUNDIAL LUPINE CT
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-8562
Country	:	US
Telephone Number	:	954-235-7865
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	HERNAN MAURICIO AVELLA
Credential	:	MD
Telephone Number	:	954-235-7865

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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