MEDICARE: ABSOLUTE MEDICAL INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	519679	OTHER	TX	BCBS
3	103434700	OTHER		DEPT OF LABOR
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346359148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE MEDICAL INC

Provider Business Mailing Address
First Line	:	2523 VALLEY VIEW LANE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-6188
Country	:	US
Telephone Number	:	972-488-2299
Fax Number	:	972-488-2290

Provider Business Practice Location Address
First Line	:	2523 VALLEY VIEW LANE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-6188
Country	:	US
Telephone Number	:	972-488-2299
Fax Number	:	972-488-2290

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAMES LOWELL DAHLEM II
Credential	:
Telephone Number	:	972-488-2299

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	09/25/2008

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Directions to “ABSOLUTE MEDICAL INC ” Practice Location

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