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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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