Organization
PATRIARCH SUPPLY & SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAPHAEL OLUSEGUN ANJORIN (PRESIDENT)
(214) 435-2105
Entity
Organization
Contact information
Practice address
5068 W PLANO PKWY, SUITE 300, PLANO, TX 75093-4408
(972) 447-8228
(972) 447-8229
Mailing address
5068 W PLANO PKWY, SUITE 300, PLANO, TX 75093-4408
(972) 447-8228
(972) 447-8229
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0095687
TX
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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