Airline Medical Center and Diagnostics,PPLC

Organization Active NPI Geriatric Medicine (Family Medicine) Physician · Humble, TX

NPI 1134584451 · NPPES record last updated Mar 21, 2022

Key facts

NPI
1134584451
Entity type
Organization (NPI type 2)
Primary specialty
Geriatric Medicine (Family Medicine) Physician 207QG0300X
License
K1739 (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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 1

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

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Airline Medical Center and Diagnosticspllc (2 organizations share this tax ID)

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207QG0300X K1739 TX Yes
Case Management Agency 251B00000X

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

Other providers in Humble, TX

All providers in Humble, TX · Geriatric Medicine (Family Medicine) Physician in Texas

Sources for this page

Verify at the official NPI Registry.