Provider Demographics
NPI:1598876641
Name:QUALITY DME SOLUTIONS LLC
Entity Type:Organization
Organization Name:QUALITY DME SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:JACINTO
Authorized Official - Last Name:FARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-213-8040
Mailing Address - Street 1:200 E INTERSTATE 2 STE J1
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6506
Mailing Address - Country:US
Mailing Address - Phone:956-213-8040
Mailing Address - Fax:956-213-8041
Practice Address - Street 1:200 E INTERSTATE 2 STE J1
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6506
Practice Address - Country:US
Practice Address - Phone:956-213-8040
Practice Address - Fax:956-213-8041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0091649332B00000X, 332BP3500X
332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183730401Medicaid
TX183730402Medicaid
TX183730402Medicaid