Provider Demographics
NPI:1083630479
Name:AIR OASIS
Entity Type:Organization
Organization Name:AIR OASIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PARTNERSHIP
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BENNERT
Authorized Official - Suffix:
Authorized Official - Credentials:CTN
Authorized Official - Phone:806-373-7788
Mailing Address - Street 1:3401 AIRWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79118-7742
Mailing Address - Country:US
Mailing Address - Phone:806-373-7788
Mailing Address - Fax:806-373-7799
Practice Address - Street 1:3401 AIRWAY BLVD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118-7742
Practice Address - Country:US
Practice Address - Phone:806-373-7788
Practice Address - Fax:806-373-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment