Organization
AIRLINE IMMUNIZATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KOKI SHAH (MANAGER)
(713) 699-6202
Entity
Organization
Contact information
Practice address
5990 AIRLINE DR, STE 200, HOUSTON, TX 77076-4233
(713) 695-2205
(713) 695-8053
Mailing address
PO BOX 682765, HOUSTON, TX 77268-2765
(713) 695-2205
(713) 695-8053
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920044301
—
TX
Enumeration date
08/13/2006
Last updated
08/22/2020
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