Healthcare Provider Details

I. General information

NPI: 1184375495
Provider Name (Legal Business Name): AIRLINE PHYSICAL THERAPY & CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4483 NORTH FWY
HOUSTON TX
77022-6229
US

IV. Provider business mailing address

4483 NORTH FWY
HOUSTON TX
77022-6229
US

V. Phone/Fax

Practice location:
  • Phone: 832-915-5555
  • Fax:
Mailing address:
  • Phone: 832-915-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SAYEEDA KURLAWALA
Title or Position: ADMINISTRATOR
Credential:
Phone: 832-667-8132