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
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