# HAASTADE MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1801076518
- **Authorized official:** MRS. ADESHOLA OYENUGA (CEO)
- **Authorized official phone:** (972) 235-8383

## Contact information

- **Practice address:** 811 S CENTRAL EXPY, SUITE 536, RICHARDSON, TX 75080-7415
- **Practice address phone:** (972) 235-8383
- **Practice address fax:** (972) 235-8384
- **Mailing address:** 811 S CENTRAL EXPY, SUITE 536, RICHARDSON, TX 75080-7415
- **Mailing address phone:** (972) 235-8383
- **Mailing address fax:** (972) 235-8384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0083557 | TX | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 11/09/2007