Provider Demographics
NPI:1598486631
Name:ACE MEDICAL EQUIPMENT, LLC
Entity type:Organization
Organization Name:ACE MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICAL
Authorized Official - Prefix:
Authorized Official - First Name:KHALIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFIQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-750-4858
Mailing Address - Street 1:9415 BURNET RD STE 306
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5397
Mailing Address - Country:US
Mailing Address - Phone:512-909-8571
Mailing Address - Fax:
Practice Address - Street 1:9415 BURNET RD STE 306
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5397
Practice Address - Country:US
Practice Address - Phone:512-909-8571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition