Provider Demographics
NPI:1306732912
Name:AVMD PLLC
Entity type:Organization
Organization Name:AVMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHISH
Authorized Official - Middle Name:
Authorized Official - Last Name:VALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-587-6764
Mailing Address - Street 1:11645 S HIGHWAY 6 # 5010
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-1302
Mailing Address - Country:US
Mailing Address - Phone:713-587-6764
Mailing Address - Fax:346-521-2175
Practice Address - Street 1:1039 IMPERIAL BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498
Practice Address - Country:US
Practice Address - Phone:713-587-6764
Practice Address - Fax:346-521-2175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty