Airline Medical Center and Diagnostics,PLLC
Organization Active NPI Health Service Clinic/Center · Humble, TX
NPI 1275955650 · NPPES record last updated Mar 21, 2022
Key facts
- NPI
- 1275955650
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- AIRLINE MEDICAL CENTER AND DIAGNOSTICS,PLLC
- Practice address
- 1906 Treble Dr Ste 10
Humble, TX 77338-5885 - Phone
- (713) 691-7735
- NPI assigned
- Jan 20, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Chedric L. Cox Sr.
- Title
- Officer
- Phone
- (832) 527-2081
Corporate family (same tax ID) 1
Practitioners 6
-
Luis Ernesto Zepeda, M.D.
-
Joseph Coleman II, LCSW
-
Abigail Rankin McNeely, PSYD
-
Rahsheda Perine, PHD
-
Rosa Victoria C. Rances, MSN, APRN, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140402000706 | TX | Part B Supplier - Clinic/Group Practice | 6608007703 |
Receives reassigned benefits from 5 practitioners Practice locations: Humble, TX |
National Provider Directory
- Tax ID family
- Airline Medical Center and Diagnosticspllc
Locations
525 N Sam Houston Pkwy E
Ste 523
Houston, TX 77060
Phone (281) 741-5107
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
1906 Treble Dr Ste 10
Humble, TX 77338-5885
Mailing address
12547 Saratoga Woods LN
Humble, TX 77346-3715
Phone (832) 527-2081
Other providers in Humble, TX
- Naeem Ahmed
- Astha Ahuja
- Aib Consulting Group
- Adesuwa Aideyman
- Tanakhon Sam Aimsila
- Airline Medical Center and Diagnostics,PPLC
- Airport McKay Pharmacy
- Teminioluwa Ayotunde Ajayi
- Ajp Bennett Enterprise LLC
- Ajp Bennett Enterprise LLC
All providers in Humble, TX · Health Service Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.