Provider Demographics
NPI:1386885234
Name:ABSOLUTE QUALITY HEARING SOLUTIONS, INC.
Entity type:Organization
Organization Name:ABSOLUTE QUALITY HEARING SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-660-9888
Mailing Address - Street 1:10611 GARLAND RD
Mailing Address - Street 2:#105
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-2666
Mailing Address - Country:US
Mailing Address - Phone:214-660-9888
Mailing Address - Fax:214-660-9920
Practice Address - Street 1:10611 GARLAND RD
Practice Address - Street 2:#105
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-2666
Practice Address - Country:US
Practice Address - Phone:214-660-9888
Practice Address - Fax:214-660-9920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50421332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197298601Medicaid
TX532941OtherBCBS