# AIRLINE FAMILY PRACTICE ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AIRLINE MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386744142
- **Authorized official:** MR. JOSE I GONZALEZ JR. (ADMINISTRATOR)
- **Authorized official phone:** (713) 447-1375

## Contact information

- **Practice address:** 11012 AIRLINE DR STE A, HOUSTON, TX 77037-1112
- **Practice address phone:** (281) 820-8955
- **Practice address fax:** (281) 820-5541
- **Mailing address:** 11012 AIRLINE DR STE A, HOUSTON, TX 77037-1112
- **Mailing address phone:** (281) 820-8955
- **Mailing address fax:** (281) 820-5541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 01/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0076NP | BCBS GROUP | TX |
| 05 | — | 180218301 | — | TX |
| 05 | — | 180218302 | — | TX |