# ACTIVE LYNX MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1548451602
- **Authorized official:** MR. KWABENA KANKAM (CO-OWNER)
- **Authorized official phone:** (281) 440-0067

## Contact information

- **Practice address:** 15626 SILVER RIDGE DR STE 108, HOUSTON, TX 77090-3711
- **Practice address phone:** (281) 440-0067
- **Mailing address:** 15626 SILVER RIDGE DR STE 108, HOUSTON, TX 77090-3711
- **Mailing address phone:** (281) 440-0067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0097834 | TX | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 05/28/2010