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ACTIVE LYNX MEDICAL SUPPLY LLC NPI 1548451602


NPI Information

NPI: 1548451602
Provider Name: ACTIVE LYNX MEDICAL SUPPLY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
15626 SILVER RIDGE DR STE 108
HOUSTON, TX
ZIP 77090
Phone: (281) 440-0067
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ACTIVE LYNX MEDICAL SUPPLY LLC is a durable medical equipment medical supplies in Houston, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ACTIVE LYNX MEDICAL SUPPLY LLC NPI is 1548451602. The provider is registered as an organization entity type.

The provider's business location address is:

15626 SILVER RIDGE DR STE 108
HOUSTON, TX
ZIP 77090-711
Phone: (281) 440-0067

The provider's authorized official is Kwabena Kankam .
The authorized official title is Co-owner and has the following contact phone number (281) 440-0067.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 5/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies0097834TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1191581101MEDICAIDTEXAS
26019590001MEDICARE NSCTEXAS
3191581102MEDICAIDTEXAS
46347390001MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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