Airline Family Practice Associates, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AIRLINE FAMILY PRACTICE ASSOCIATES, INC

Practice address

11012 Airline Dr Ste a
Houston, TX 77037-1112

Phone

(281) 820-8955

Fax

(281) 820-5541

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jose I Gonzalez Jr.

Title

Administrator

Phone

(713) 447-1375

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• AIRLINE MEDICAL CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Pablo E Amador, MD

  • Family Medicine Physician
  • Houston, TX
  • NPI 1962427849
  Medicare reassignment NPD
• Rosa Guadalupe Brenes, MSN, APRN, FNP-C

  • Acute Care Nurse Practitioner
  • Porter, TX
  • NPI 1689285488
  NPD
• Yanira Concepcion Hernandez, FNP

  • Family Nurse Practitioner
  • Porter, TX
  • NPI 1104547835
  NPD
• Alan E Nolasco, MD

  • Family Medicine Physician
  • Estacada, OR
  • NPI 1306946165
  NPD
• James Peter Zucconi, MD

  • Pediatrics Physician
  • Houston, TX
  • NPI 1891738647
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1386744142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 AIRLINE DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770371112",
            "telephone_number": "281-820-8955",
            "fax_number": "281-820-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 AIRLINE DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770371112",
            "telephone_number": "281-820-8955",
            "fax_number": "281-820-5541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24420 Fm 1314 Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Porter",
            "state": "TX",
            "postal_code": "773655490",
            "country_code": "US",
            "telephone_number": "281-577-5108",
            "fax_number": "281-577-5109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5514 Yale St # 101",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770915734",
            "country_code": "US",
            "telephone_number": "713-697-3030",
            "fax_number": "713-697-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AIRLINE FAMILY PRACTICE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-447-1375",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180218301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0076NP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180218302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIRLINE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AIRLINE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Airline Dental Clinic
• Airline Dental Clinic
• Airline Diagnosis Center LLC
• Airline Doctors Family and Pediatric Clinics,PLLC
• Airline Drive Family Dental, PLLC
• Airline Immunization Inc.
• Airline Pediatric Group, PA
• Airline Pharmacy Associates LLC
• Airline Physical Therapy & Chiropractic LLC
• Airline Salud & Wellness LLC

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.