Provider Demographics
NPI:1467511972
Name:AIRLINE COMPLETE HEALTHCARE OF TEXAS, LTD,LLP
Entity Type:Organization
Organization Name:AIRLINE COMPLETE HEALTHCARE OF TEXAS, LTD,LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PALACIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-691-7490
Mailing Address - Street 1:509 W TIDWELL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-4356
Mailing Address - Country:US
Mailing Address - Phone:713-691-7490
Mailing Address - Fax:713-691-0079
Practice Address - Street 1:509 W TIDWELL RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091
Practice Address - Country:US
Practice Address - Phone:713-691-7490
Practice Address - Fax:713-691-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X364Medicare PIN