Provider Demographics
NPI:1528524485
Name:AMERICAN QUALITY DME LLC
Entity type:Organization
Organization Name:AMERICAN QUALITY DME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:SCHULZE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-696-5150
Mailing Address - Street 1:11924 VANCE JACKSON RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1459
Mailing Address - Country:US
Mailing Address - Phone:210-696-5150
Mailing Address - Fax:
Practice Address - Street 1:11924 VANCE JACKSON RD STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1459
Practice Address - Country:US
Practice Address - Phone:210-696-5150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies