NPI | 1427511336 |
---|---|
Former Legal Business Name | AIR AUSTIN 1 PLLC |
Entity Type | Organization |
Authorized Contact | JEROD BOWEN CEO 801-633-6696 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Additional Taxonomies | 213ER0200X Podiatrist, Radiology |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
225100000X Physical Therapist | |
207RS0010X Internal Medicine, Sports Medicine | |
207Q00000X Family Medicine | |
207QS0010X Family Medicine, Sports Medicine | |
207R00000X Internal Medicine | |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
2085R0202X Radiology, Diagnostic Radiology | |
2085U0001X Radiology, Diagnostic Ultrasound | |
2086S0129X Surgery, Vascular Surgery | |
213E00000X Podiatrist | |
213EP1101X Podiatrist, Primary Podiatric Medicine | |
Enumeration Date | 2019-04-08 |
Last Update Date | 2023-12-26 |