Provider Demographics
NPI:1679798524
Name:A'S DME L.L.C.
Entity Type:Organization
Organization Name:A'S DME L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-527-4294
Mailing Address - Street 1:103 E TILLEY ST
Mailing Address - Street 2:
Mailing Address - City:HEBBRONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78361-3553
Mailing Address - Country:US
Mailing Address - Phone:361-527-2655
Mailing Address - Fax:
Practice Address - Street 1:103 E TILLEY ST
Practice Address - Street 2:
Practice Address - City:HEBBRONVILLE
Practice Address - State:TX
Practice Address - Zip Code:78361-3553
Practice Address - Country:US
Practice Address - Phone:361-527-2655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5724560001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies