Organization
AIRLINE PEDIATRIC GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANTZ JEAN-LOUIS M.D. (OWNER)
(713) 694-9080
Entity
Organization
Contact information
Practice address
6035 AIRLINE DR STE 7, HOUSTON, TX 77076-4224
(713) 694-9080
Mailing address
6035 AIRLINE DR STE 7, HOUSTON, TX 77076-4224
(713) 694-9080
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K0075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00267K
BLUE CROSS/BLUE SHIELD
TX
05
—
018321201
—
TX
05
—
080253001
—
TX
01
—
10019191
AMERIGROUP
TX
05
—
110690803
—
TX
Enumeration date
10/10/2007
Last updated
10/10/2007
Update your record
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