Airline Medical Center And Diagnostics,pllc
Clinic/Center, Health Services in Humble, TX. Organization (NPI-2).
NPI number1275955650
StatusActive
Last updated in NPPESMar 21, 2022
Details
- NPI
- 1275955650
- Entity type
- Organization (NPI-2)
- Legal business name
- Airline Medical Center And Diagnostics,pllc
- Organization subpart
- No
- Enumeration date
- Jan 20, 2014
- Certification date
- Mar 21, 2022
- Last updated
- Mar 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
| 251B00000X | Case Management | – | – |
Practice location
1906 Treble Dr Ste 10Humble, TX 77338-5885
Phone 713-691-7735
Mailing address
12547 Saratoga Woods LnHumble, TX 77346-3715
Phone 832-527-2081
Authorized official
Chedric L. Cox
Officer
8325272081
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