# KINGSGATE MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1538301080
- **Authorized official:** MR. ABIODUN A BADEJO (GENERAL MANAGER)
- **Authorized official phone:** (817) 275-1950

## Contact information

- **Practice address:** 1117 W PIONEER PKWY, SUITE 120, ARLINGTON, TX 76013-6395
- **Practice address phone:** (817) 275-1950
- **Practice address fax:** (817) 275-1895
- **Mailing address:** 1117 W PIONEER PKWY, SUITE 120, ARLINGTON, TX 76013-6395
- **Mailing address phone:** (817) 275-1950
- **Mailing address fax:** (817) 275-1895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000013 | TX | Yes |

## Other

- **Enumeration date:** 03/30/2009
- **Last updated:** 03/30/2009