Organization
KINGSGATE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABIODUN A BADEJO (GENERAL MANAGER)
(817) 275-1950
Entity
Organization
Contact information
Practice address
1117 W PIONEER PKWY, SUITE 120, ARLINGTON, TX 76013-6395
(817) 275-1950
(817) 275-1895
Mailing address
1117 W PIONEER PKWY, SUITE 120, ARLINGTON, TX 76013-6395
(817) 275-1950
(817) 275-1895
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000013
TX
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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