Provider Demographics
NPI:1316208184
Name:ABSOLOUTE QUALITY HEARING SOLUTIONS
Entity Type:Organization
Organization Name:ABSOLOUTE QUALITY HEARING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-660-9888
Mailing Address - Street 1:6651 WATAUGA RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76148-3360
Mailing Address - Country:US
Mailing Address - Phone:817-479-0940
Mailing Address - Fax:817-479-0945
Practice Address - Street 1:6651 WATAUGA RD
Practice Address - Street 2:SUITE 109
Practice Address - City:WATAUGA
Practice Address - State:TX
Practice Address - Zip Code:76148-3360
Practice Address - Country:US
Practice Address - Phone:817-479-0940
Practice Address - Fax:817-479-0945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197298601Medicaid