# AIRSUPPLY ANESTHESIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770097792
- **Authorized official:** DR. PHELON RAMMELL (DMD)
- **Authorized official phone:** (253) 278-8000

## Contact information

- **Practice address:** 25835 WARBLER VW, SAN ANTONIO, TX 78255-4401
- **Practice address phone:** (253) 278-8000
- **Mailing address:** 25835 WARBLER VW, SAN ANTONIO, TX 78255-4401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 30871 | TX | Yes |

## Other

- **Enumeration date:** 11/29/2017
- **Last updated:** 11/29/2017