Agevantx Corp

Organization Active NPI Hospice and Palliative Medicine (Family Medicine) Physician · Tomball, TX

NPI 1225857006 · NPPES record last updated Jun 16, 2026

Key facts

NPI
1225857006
Entity type
Organization (NPI type 2)
Primary specialty
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
Legal business name
AGEVANTX CORP
Practice address
11003 Northpointe Blvd Ste a
Tomball, TX 77375-2384
Phone
(281) 301-5522
NPI assigned
Oct 8, 2024
Organization subpart
No

Authorized official

Name
George Andrew Valdez, MD
Title
Owner
Phone
(281) 301-5522

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2326915Agevantx Corp
11003 Northpointe Blvd Suite a, Tomball, TX 77375
Certificate of waiverJul 10, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250627003935 TX Part B Supplier - Clinic/Group Practice 6305367475 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207QH0002X Yes

Addresses

Primary practice location

11003 Northpointe Blvd Ste a
Tomball, TX 77375-2384

Mailing address

11003 Northpointe Blvd Ste a
Tomball, TX 77375-2384

Other providers in Tomball, TX

All providers in Tomball, TX · Hospice and Palliative Medicine (Family Medicine) Physician in Texas

Sources for this page

Verify at the official NPI Registry.