# PAT MEDICAL SUPPLIES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** J-RAPHA HEALTHCARE SERVICES PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063678365
- **Legal business name:** J-RAPHA HEALTHCARE SERVICES PLLC
- **Authorized official:** OLAWOLE OLUWOLE MD (DIRECTOR)
- **Authorized official phone:** (469) 464-2295

## Contact information

- **Practice address:** 982 N GARDEN RIDGE BLVD, SUITE 220B, LEWISVILLE, TX 75077-2827
- **Practice address phone:** (469) 464-2295
- **Practice address fax:** (469) 464-2296
- **Mailing address:** 982 N GARDEN RIDGE BLVD, SUITE 220B, LEWISVILLE, TX 75077-2827
- **Mailing address phone:** (469) 464-2295
- **Mailing address fax:** (469) 464-2296

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2008
- **Last updated:** 08/06/2008