Organization
ACTIVE AMERICAN MEDICAL SUPPLY CORP
Active
Parent organization
ACTIVE AMERICAN SCOOTER COMPANY
Other names
Active American Mobility and Medical Supply
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE AMERICAN SCOOTER COMPANY
Authorized official
MR. SOLOMON LOWELL ADAMS (VICE PRESIDENT)
(281) 495-4400
Entity
Organization
Contact information
Practice address
13003 MURPHY RD, SUITE G1, STAFFORD, TX 77477-3956
(281) 495-4400
(281) 495-4401
Mailing address
13003 MURPHY RD, SUITE G1, STAFFORD, TX 77477-3956
(281) 495-4400
(281) 495-4401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0107869
TX
332BC3200X
Customized Equipment (DME)
0107869
TX
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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