Provider Demographics
NPI:1336495225
Name:AVILO INC
Entity Type:Organization
Organization Name:AVILO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ATANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-745-7913
Mailing Address - Street 1:10335 BELVAMERA RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2625
Mailing Address - Country:US
Mailing Address - Phone:281-745-7913
Mailing Address - Fax:
Practice Address - Street 1:10335 BELVAMERA RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2625
Practice Address - Country:US
Practice Address - Phone:281-745-7913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-28
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty