Organization Active NPI

Airline Pediatric Group, PA

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1013105485
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K0075 Issued in TX
Legal business name
AIRLINE PEDIATRIC GROUP, PA
Practice address
6035 Airline Dr Ste 7
Houston, TX 77076-4224
Phone
(713) 694-9080
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frantz Jean-Louis, M.D.
Title
Owner
Phone
(713) 694-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K0075 TX Primary

Addresses

Primary practice location

6035 Airline Dr Ste 7
Houston, TX 77076-4224

Mailing address

6035 Airline Dr Ste 7
Houston, TX 77076-4224
Phone (713) 694-9080

Other identifiers 5

IdentifierTypeStateIssuer
018321201MedicaidTX
10019191OtherTXAMERIGROUP
110690803MedicaidTX
00267KOtherTXBLUE CROSS/BLUE SHIELD
080253001MedicaidTX

National Provider Directory

National Provider Directory

Locations

6035 Airline Dr
Ste 7
Houston, TX 77076
Phone (713) 694-9080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1013105485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 AIRLINE DR STE 7",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764224",
            "telephone_number": "713-694-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 AIRLINE DR STE 7",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764224",
            "telephone_number": "713-694-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLINE PEDIATRIC GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "JEAN-LOUIS",
        "authorized_official_first_name": "FRANTZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-694-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K0075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018321201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10019191",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110690803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00267K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080253001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.