Airline Dental Clinic

LBN: Airline Dental Clinic
Airline Dental Clinic is an health care organization with primary practice located at 5990 Airline Dr Suite 180, Houston TX 77076-4233. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Airline Dental Clinic can be contacted via phone (713) 694-8333, or through Campa, Irasema via phone (713) 697-2631.

Contact Information

Primary practice address
5990 Airline Dr Suite 180 Houston TX 77076-4233
Phone: (713) 694-8333
Fax: (713) 694-8362
Website:
Map and Directions
Authorized official contact:
Name: Campa, Irasema
Phone: (713) 697-2631

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22558 Texas
Dental Providers / General Practice 1223G0001X 16842 Texas

Profile Details

NPI number 1710011259
LBN Legal business name Airline Dental Clinic
DBA Doing business as
Authorized official Campa, Irasema
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Feb 1st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710011259 NPPES
Texas MEDICAID 169622101
Texas MEDICAID 177617101
Texas MEDICAID 009806301

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