NPIMap

Organization Active NPI

Airline Medical Center and Diagnostics,PPLC

  • Geriatric Medicine (Family Medicine) Physician
  • Humble, TX
National Provider Identifier
1134584451
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
K1739 Issued in TX
Legal business name
AIRLINE MEDICAL CENTER AND DIAGNOSTICS,PPLC
Practice address
1906 Treble Dr Ste 10
Humble, TX 77338-5885
Phone
(713) 691-7735
NPI assigned
Dec 31, 2015
Last updated
Mar 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Mr. Chedric Cox
Title
Adminstrator
Phone
(713) 691-7735

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Geriatric Medicine (Family Medicine) Physician 207QG0300X K1739 TX Primary

Addresses

Primary practice location

1906 Treble Dr Ste 10
Humble, TX 77338-5885

Mailing address

1906 Treble Dr Ste 10
Humble, TX 77338-5885
Phone (713) 691-7735

National Provider Directory

National Provider Directory
Tax ID family
Airline Medical Center and Diagnosticspllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1906 Treble Dr
Ste 10
Humble, TX 77338
Phone (713) 691-7735

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1134584451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 TREBLE DR STE 10",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385885",
            "telephone_number": "713-691-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 TREBLE DR STE 10",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385885",
            "telephone_number": "713-691-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLINE MEDICAL CENTER AND DIAGNOSTICS,PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CHEDRIC",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "713-691-7735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.