Provider Demographics
NPI:1689958936
Name:A R DALLAS INC
Entity Type:Organization
Organization Name:A R DALLAS INC
Other - Org Name:ACE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:AMBREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HASNAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-725-7466
Mailing Address - Street 1:3317 N STORY RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-4219
Mailing Address - Country:US
Mailing Address - Phone:972-255-6538
Mailing Address - Fax:972-346-8141
Practice Address - Street 1:3317 N STORY RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4219
Practice Address - Country:US
Practice Address - Phone:972-255-6538
Practice Address - Fax:972-346-8141
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A R DALLAS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-05
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000588332B00000X
TXTXD200054332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies