Airline Medical Center And Diagnostics,pplc
Family Medicine, Geriatric Medicine in Humble, TX. Organization (NPI-2).
NPI number1134584451
StatusActive
Last updated in NPPESMar 21, 2022
Details
- NPI
- 1134584451
- Entity type
- Organization (NPI-2)
- Legal business name
- Airline Medical Center And Diagnostics,pplc
- Organization subpart
- No
- Enumeration date
- Dec 31, 2015
- Certification date
- Mar 21, 2022
- Last updated
- Mar 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | K1739 | TX | Yes |
| 251B00000X | Case Management | – | – |
Practice location
1906 Treble Dr Ste 10Humble, TX 77338-5885
Phone 713-691-7735
Mailing address
1906 Treble Dr Ste 10Humble, TX 77338-5885
Phone 713-691-7735
Authorized official
Chedric Cox
Adminstrator
7136917735
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