| Airline Medical Center And Diagnostics,pplc | |
|
1906 Treble Dr Ste 10 Humble TX 77338-5885 | |
| (713) 691-7735 | |
| Not Available |
| Full Name | Airline Medical Center And Diagnostics,pplc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1906 Treble Dr Ste 10, Humble, Texas |
| Authorized Official Name and Position | Chedric Cox (ADMINSTRATOR) |
| Authorized Official Contact | 7136917735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Airline Medical Center And Diagnostics,pplc 1906 Treble Dr Ste 10 Humble TX 77338-5885 Ph: (713) 691-7735 | Airline Medical Center And Diagnostics,pplc 1906 Treble Dr Ste 10 Humble TX 77338-5885 Ph: (713) 691-7735 |
| NPI Number | 1134584451 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 03/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134584451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | K1739 (Texas) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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