# ACTIVE AMERICAN MEDICAL SUPPLY CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ACTIVE AMERICAN SCOOTER COMPANY
- **Other names:** Active American Mobility and Medical Supply
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124250386
- **Legal business name:** ACTIVE AMERICAN SCOOTER COMPANY
- **Authorized official:** MR. SOLOMON LOWELL ADAMS (VICE PRESIDENT)
- **Authorized official phone:** (281) 495-4400

## Contact information

- **Practice address:** 13003 MURPHY RD, SUITE G1, STAFFORD, TX 77477-3956
- **Practice address phone:** (281) 495-4400
- **Practice address fax:** (281) 495-4401
- **Mailing address:** 13003 MURPHY RD, SUITE G1, STAFFORD, TX 77477-3956
- **Mailing address phone:** (281) 495-4400
- **Mailing address fax:** (281) 495-4401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0107869 | TX | Yes |
| 332BC3200X | Customized Equipment (DME) | 0107869 | TX | — |

## Other

- **Enumeration date:** 08/20/2009
- **Last updated:** 08/20/2009