Organization
AIRLINE FAMILY PRACTICE ASSOCIATES, INC
Active
Other names
AIRLINE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE I GONZALEZ JR. (ADMINISTRATOR)
(713) 447-1375
Entity
Organization
Contact information
Practice address
11012 AIRLINE DR STE A, HOUSTON, TX 77037-1112
(281) 820-8955
(281) 820-5541
Mailing address
11012 AIRLINE DR STE A, HOUSTON, TX 77037-1112
(281) 820-8955
(281) 820-5541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076NP
BCBS GROUP
TX
05
—
180218301
—
TX
05
—
180218302
—
TX
Enumeration date
09/22/2006
Last updated
01/05/2023
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