Provider Demographics
NPI:1750907408
Name:AVANTE HOUSTON OPERATIONS INC
Entity type:Organization
Organization Name:AVANTE HOUSTON OPERATIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-888-0611
Mailing Address - Street 1:9722 GASTON RD STE 150-90
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7941
Mailing Address - Country:US
Mailing Address - Phone:281-888-0611
Mailing Address - Fax:
Practice Address - Street 1:11111 KATY FWY STE 910
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2119
Practice Address - Country:US
Practice Address - Phone:281-888-0611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-18
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)