Organization
AIR TEXAS, PLLC
Active
Organization
AIR TEXAS, PLLC
Active
Other names
AIR Austin 1 PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEROD BOWEN (CEO)
(801) 633-6696
Entity
Organization
Contact information
Practice address
1302 N STANTON ST, EL PASO, TX 79902-4122
(915) 248-1277
(915) 845-9072
Mailing address
2487 S GILBERT RD STE 106, GILBERT, AZ 85295-2802
(915) 248-1277
(915) 845-9072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/08/2019
Last updated
12/26/2023
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