Provider Demographics
NPI:1588022685
Name:AIRO, BENARD
Entity Type:Individual
Prefix:
First Name:BENARD
Middle Name:
Last Name:AIRO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 WHITMIRE BLVD
Mailing Address - Street 2:APT 6D
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-3500
Mailing Address - Country:US
Mailing Address - Phone:270-779-7079
Mailing Address - Fax:
Practice Address - Street 1:2438 WHITMIRE BLVD
Practice Address - Street 2:APT 6D
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-3500
Practice Address - Country:US
Practice Address - Phone:270-779-7079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide