Organization
ACTIVE LYNX MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KWABENA KANKAM (CO-OWNER)
(281) 440-0067
Entity
Organization
Contact information
Practice address
15626 SILVER RIDGE DR STE 108, HOUSTON, TX 77090-3711
(281) 440-0067
Mailing address
15626 SILVER RIDGE DR STE 108, HOUSTON, TX 77090-3711
(281) 440-0067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0097834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191581101
—
TX
05
—
191581102
—
TX
Enumeration date
08/05/2007
Last updated
05/28/2010
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