Provider Demographics
NPI:1043830094
Name:AAA QUALITY DME LLC
Entity Type:Organization
Organization Name:AAA QUALITY DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:REDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-444-0884
Mailing Address - Street 1:12508 INDIAN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-6604
Mailing Address - Country:US
Mailing Address - Phone:682-444-0884
Mailing Address - Fax:
Practice Address - Street 1:2907 MEDLIN DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2330
Practice Address - Country:US
Practice Address - Phone:817-932-4101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies