About Us

Founded in 2002

 Advanced Ambulatory, Inc. (AAI) has grown from a small, privately held Texas-based company providing the most basic of surgical services and medical devices to carrying a line of the most prestigious and cutting edge medical products & devices.  Though the groups’s primary focus is Plastic & Reconstructive Surgery, our supported specialties range far beyond to include dermatology, OB/GYN, hair restoration, pain management orthopedics & even regenerative medicine.

Our Story

We pride ourselves on forming close relationships with our physicians and staff, and get to know how their practices work, and what their needs are – We are there from demonstration to sale, from sale to delivery, from delivery to education  and training AND beyond.  Many of our customers have been just that for more than 15 years, and today are also our friends.  We not only want to sell the physician that leading innovative device, but have them become skilled experts who then can lead their peers to us, and these innovative devices!  

 

Our team is comprised of sales representatives who know their stuff - have surgical experience. They know the area they are servicing and the ins and outs of their field.  Our in-house staff is responsive, talented and provide the know-how and can-do attitudes to make sure the most important people - our customers, are well taken care of.  Whether you are purchasing the most basic device or highly technical, multi-platform capital purchase, know that the team at AAI is here for you, every step of the way.

Meet The Team

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In alignment with our company mission of improving patient outcomes as well as the surgical experience, I have spent the last several years helping our company acquire devices and technologies that I believed could be improved upon.

 

My passion has always been to make things better, more beautiful and more efficient. I guide our team and industry partners to re-think, reengineer and rebuild our products from the ground up .  I am fortunate to have a team of co-workers with this same passion....we roll up our sleeves every day knowing we can do better for our partners, our surgeons and our patients.  I am incredibly grateful to all of you that help us strive to do more...

Rob Pupelis

Founder & CEO

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Chad graduated from Sam Houston State University with a degree in Kinesiology, with an emphasis in Cardiac Rehab.

He began his aesthetic career in 1999 with Medical Alliance where I became the Operations Manager for South Texas and Louisiana. From there, chad became one of the original team members of AAI. Chad’s
primary focus is on fat grafting, T-Stat and crown Aesthetics.

 

Chad lives in Needville, TX with his wife, Carrie and two children, Carter and Chaise along with their dog, Rocky and cat, Twinkle.

Chad Roehling

Operations Manager 

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Zach has proudly been a part of the AAI team since 2005.  Zach’s experience started with laser technology and evolved over the years into sales of office based, aesthetic, and surgical products.  He takes great pride in being a valuable resource for his practitioners.  The most rewarding part of his work is seeing his practices grow while obtaining dynamic results for their patients.  Zach obtained his B.S. with Honors from the University of Texas at Austin.  He resides in the Houston Heights neighborhood with his wife, Amanda, daughter, Campbell, son, Miles, and one unruly French Bulldog named Norman.

Zach Mefford

Vice President

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A founding partner, Leia Cromwell brings more than 30 years medical device experience to AAI, and was consistently recognized for outstanding sales performance during her tenure at Johnson & Johnson, Bausch & Lomb, Stryker, and Mentor Corporation. 

 

Leia holds a B.A. in Psychology and Marketing from Stephen F. Austin State University, as well as a minor in English.  Ms. Cromwell serves in the St. Michael Women’s Guild, PTO of St. Michael Catholic School, and the Junior League of Houston.  She enjoys spending free time with her family; husband, Bob and daughters, Lily and Margaret, as well as friends at their home on Galveston Bay.

Leia Cromwell

Owner

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Keith Mefford

Product Specialist

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Terri, a Texas native, grew up in West Texas and is a graduate of Texas Tech.  She's been in medical sales since 2001.  She loved the diversity that AAI offers; both OR sales and office sales. She's known by her hospitals as 

"T-Stat Terri".   She's been a part of the AAI team since 2015.  In her spare time, she loves traveling with her husband Rick, and spending time with her kids and new grandson Max.

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Terri Welty 

Product Specialist

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Mayra Guardado

Office Manager

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Born In Houston, TX, Adrian graduated from St. Thomas Episcopal School and went on to Texas A&M University, where he completed his bachelor’s degree in Electronics Systems Engineering. With former experience in an electronic parts distribution position and a lifelong passion for tinkering, Adrian is ready to dive head-long into product development and improvement.

Adrian achieved the Scout Rank of Eagle Scout prior to his High School graduation and has transferred the resulting work ethic and helpful nature into the Medical Device Industry.

“I am driven to design quality products with features that improve our users’ and patient’s experiences. Working with the entire AAI team has been an absolute joy, the feedback we receive from reps and users helps us push our innovation.”

When Adrian isn’t spending time with his girlfriend, Chloe, you can find him in his carpentry workshop,  playing with his pets (6 all together), or fixing anything that can be.

Adrian Fetterley 

Engineer 

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My name is Laura Villalobos and I joined the AAI family in January 2018.  I am responsible for our scheduling and the experience you receive when you call into our office.

 

I am grateful to work in a caring environment where we are always evolving and acquiring new knowledge. I reside in West Houston, with my husband Nelson, and our dog Blue. We are expecting our first child this spring, and are ecstatic to enter the realm of parenting.

 

Outside of the office, I enjoy practicing yoga and spending time with family and friends.

Laura Villalobos

Administrative Assistant 

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After completing nursing school in 1992, I was employed by Memorial City General Hospital (now Memorial Hermann Memorial City) working in Med/Surg for 2 years and then in PACU for 2 years.  In 1996, I moved to work at an ambulatory day surgery center in Preop/PACU. 

While working at the surgery center, I was recruited by a Plastics and Reconstructive surgeon in 1999 as his office nurse, and in 2005 I also added the role as his office manager.  Upon the retirement of this physician in 2012, I too retired.  Fast forward to 2017 where I was recruited by AAI as their training manager.  I enjoy this part-time position and working with this great team.

 

I have four adult children and two fur babies.  In my spare time, I enjoy being a CASA volunteer (Court Appointed Special Advocate for a child in the foster system), volunteering in the children’s ministry at our church, church choir, playing golf, painting, reading, and traveling the world with my husband, David.

Kimberly A. Savage, LVN

Training Manager  

Cheers! Thank You For Your Business!

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Our Clients