MEDICARE: AIR OASIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1083630479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIR OASIS

Provider Business Mailing Address
First Line	:	3401 AIRWAY BLVD
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79118-7742
Country	:	US
Telephone Number	:	806-373-7788
Fax Number	:	806-373-7799

Provider Business Practice Location Address
First Line	:	3401 AIRWAY BLVD
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79118-7742
Country	:	US
Telephone Number	:	806-373-7788
Fax Number	:	806-373-7799

Authorized Official
Title or Position	:	OWNER/ PARTNERSHIP
Name	:	DR. JEFF EDWARD BENNERT
Credential	:	CTN
Telephone Number	:	806-373-7788

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	08/22/2020

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Directions to “AIR OASIS ” Practice Location

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