Provider Demographics
NPI:1346359148
Name:ABSOLUTE MEDICAL INC
Entity Type:Organization
Organization Name:ABSOLUTE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LOWELL
Authorized Official - Last Name:DAHLEM
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:972-488-2299
Mailing Address - Street 1:2523 VALLEY VIEW LANE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6188
Mailing Address - Country:US
Mailing Address - Phone:972-488-2299
Mailing Address - Fax:972-488-2290
Practice Address - Street 1:2523 VALLEY VIEW LANE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-6188
Practice Address - Country:US
Practice Address - Phone:972-488-2299
Practice Address - Fax:972-488-2290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTPI140604302Medicaid
TX519679OtherBCBS
103434700OtherDEPT OF LABOR
TXTPI140604301Medicaid
TXTPI140604302Medicaid