# ACTIVE AMERICAN SCOOTER COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Active American Mobility and Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245344951
- **Authorized official:** MR. SOLOMON LOWELL ADAMS (VICE PRESIDENT)
- **Authorized official phone:** (979) 709-9521

## Contact information

- **Practice address:** 103 CIRCLE WAY ST, LAKE JACKSON, TX 77566-5233
- **Practice address phone:** (979) 297-3155
- **Practice address fax:** (979) 297-2695
- **Mailing address:** 103 CIRCLE WAY ST, LAKE JACKSON, TX 77566-5233
- **Mailing address phone:** (979) 297-3155
- **Mailing address fax:** (979) 297-2695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 05/27/2011