NPIMap

Organization Active NPI

Airline Medical Center and Diagnostics,PLLC

  • Health Service Clinic/Center
  • Humble, TX
National Provider Identifier
1275955650
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 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
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 L. Cox Sr.
Title
Officer
Phone
(832) 527-2081

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Health Service Clinic/Center 261QH0100X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140402000706 TX Part B Supplier - Clinic/Group Practice 6608007703 Receives reassigned benefits from 5 practitioners
Practice locations: Humble, TX

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

525 N Sam Houston Pkwy E
Ste 523
Houston, TX 77060
Phone (281) 741-5107

Practitioners & affiliated clinicians

Practitioners 6

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": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1275955650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12547 SARATOGA WOODS LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463715",
            "telephone_number": "832-527-2081"
        },
        {
            "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,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CHEDRIC",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "832-527-2081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.