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Organization
AIRLINE DIAGNOSIS CENTER LLC
Active
Organization
AIRLINE DIAGNOSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GHOLAMHOSSEIN OMIDI (MEMBER MANAGER)
(832) 878-2048
Entity
Organization
Contact information
Practice address
5990 AIRLINE DR, 130A, HOUSTON, TX 77076-4233
(713) 884-8070
(713) 884-8077
Mailing address
5200 MITCHELLDALE ST, F-27, HOUSTON, TX 77092-7206
(832) 878-2048
(713) 956-2555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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