Organization
AIRLINE MEDICAL CENTER AND DIAGNOSTICS,PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHEDRIC COX (ADMINSTRATOR)
(713) 691-7735
Entity
Organization
Contact information
Practice address
1906 TREBLE DR STE 10, HUMBLE, TX 77338-5885
(713) 691-7735
Mailing address
1906 TREBLE DR STE 10, HUMBLE, TX 77338-5885
(713) 691-7735
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
K1739
TX
251B00000X
Case Management Agency
—
—
Other
Enumeration date
12/31/2015
Last updated
03/21/2022
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