Healthcare Provider Details

I. General information

NPI: 1386885234
Provider Name (Legal Business Name): ABSOLUTE QUALITY HEARING SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2009
Last Update Date: 05/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10611 GARLAND RD #105
DALLAS TX
75218-2666
US

IV. Provider business mailing address

10611 GARLAND RD #105
DALLAS TX
75218-2666
US

V. Phone/Fax

Practice location:
  • Phone: 214-660-9888
  • Fax: 214-660-9920
Mailing address:
  • Phone: 214-660-9888
  • Fax: 214-660-9920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number50421
License Number StateTX

VIII. Authorized Official

Name: MS. KATIE PORTER
Title or Position: ADMINISTRATOR
Credential:
Phone: 214-660-9888