| Airline Doctors Family And Pediatric Clinics,pllc | |
|
5990 Airline Dr 160a Houston TX 77076-4233 | |
| (281) 727-9094 | |
| Not Available |
| Full Name | Airline Doctors Family And Pediatric Clinics,pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 5990 Airline Dr, Houston, Texas |
| Authorized Official Name and Position | Rudolfo Giraldi (MEMBER MANAGER) |
| Authorized Official Contact | 2817279094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Airline Doctors Family And Pediatric Clinics,pllc 5200 Mitchelldale St F-27 Houston TX 77092-7206 Ph: (281) 727-9094 | Airline Doctors Family And Pediatric Clinics,pllc 5990 Airline Dr 160a Houston TX 77076-4233 Ph: (281) 727-9094 |
| NPI Number | 1295149144 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 10/28/2014 |
| Medicare PECOS PAC ID | 4789805862 |
|---|---|
| Medicare Enrollment ID | O20141015001588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295149144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | (* (Not Available)) | Primary |
| Provider Name | Miemie Kyaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518157213 PECOS PAC ID: 6103011002 Enrollment ID: I20101117000184 |
| Provider Name | Seema R Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225584642 PECOS PAC ID: 5395033716 Enrollment ID: I20161018000178 |
| Provider Name | Jerin Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740791300 PECOS PAC ID: 8921352477 Enrollment ID: I20181119002990 |
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