Provider Demographics
NPI:1669715835
Name:OBLEPIAS, AVERY
Entity type:Individual
Prefix:
First Name:AVERY
Middle Name:
Last Name:OBLEPIAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22815 PARKWALK LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4451
Mailing Address - Country:US
Mailing Address - Phone:281-850-5325
Mailing Address - Fax:
Practice Address - Street 1:22815 PARKWALK LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4451
Practice Address - Country:US
Practice Address - Phone:281-850-5325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other