MEDICARE: AAA QUALITY DME LLC

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

General Provider Information

NPI Number	:	1043830094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA QUALITY DME LLC

Provider Business Mailing Address
First Line	:	12508 INDIAN CREEK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-6604
Country	:	US
Telephone Number	:	682-444-0884
Fax Number	:

Provider Business Practice Location Address
First Line	:	2907 MEDLIN DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2330
Country	:	US
Telephone Number	:	817-932-4101
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	JASON REDLER
Credential	:
Telephone Number	:	682-444-0884

Provider Enumeration Date	:	04/20/2020
Last Update Date	:	04/20/2020

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Directions to “AAA QUALITY DME LLC ” Practice Location

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