Organization
HAASTADE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADESHOLA OYENUGA (CEO)
(972) 235-8383
Entity
Organization
Contact information
Practice address
811 S CENTRAL EXPY, SUITE 536, RICHARDSON, TX 75080-7415
(972) 235-8383
(972) 235-8384
Mailing address
811 S CENTRAL EXPY, SUITE 536, RICHARDSON, TX 75080-7415
(972) 235-8383
(972) 235-8384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0083557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177902701
—
TX
05
—
177902702
—
TX
Enumeration date
11/09/2007
Last updated
11/09/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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