# AHA MEDICAL EQUIPMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477799229
- **Authorized official:** JASON JACKSON (CEO)
- **Authorized official phone:** (214) 392-2994

## Contact information

- **Practice address:** 902 ST PAUL, RICHARDSON, TX 75080
- **Practice address phone:** (214) 392-2994
- **Practice address fax:** (510) 280-9782
- **Mailing address:** 405 LIBERTY PL, GRAND PRAIRIE, TX 75052
- **Mailing address phone:** (214) 392-2994
- **Mailing address fax:** (510) 280-9782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2008
- **Last updated:** 12/29/2008