Provider Demographics
NPI:1346306503
Name:BOVELL, AURELIO EMILIO I
Entity Type:Individual
Prefix:MR
First Name:AURELIO
Middle Name:EMILIO
Last Name:BOVELL
Suffix:I
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:AURELIO
Other - Middle Name:EMILIO
Other - Last Name:BOVELL
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:OPA-C
Mailing Address - Street 1:1010 GLENFORD DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4158
Mailing Address - Country:US
Mailing Address - Phone:832-295-9410
Mailing Address - Fax:832-519-0976
Practice Address - Street 1:2646 SOUTH LOOP W
Practice Address - Street 2:635
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2665
Practice Address - Country:US
Practice Address - Phone:832-295-9410
Practice Address - Fax:832-519-0976
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor