# PATRIARCH SUPPLY & SERVICES LLC

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

## Provider details

- **NPI number:** 1437325487
- **Authorized official:** MR. RAPHAEL OLUSEGUN ANJORIN (PRESIDENT)
- **Authorized official phone:** (214) 435-2105

## Contact information

- **Practice address:** 5068 W PLANO PKWY, SUITE 300, PLANO, TX 75093-4408
- **Practice address phone:** (972) 447-8228
- **Practice address fax:** (972) 447-8229
- **Mailing address:** 5068 W PLANO PKWY, SUITE 300, PLANO, TX 75093-4408
- **Mailing address phone:** (972) 447-8228
- **Mailing address fax:** (972) 447-8229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0095687 | TX | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 04/30/2008