Provider Demographics
NPI:1427144682
Name:ROYAL MEDICAL SUPPLIES
Entity type:Organization
Organization Name:ROYAL MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEWALE
Authorized Official - Middle Name:AKANNI
Authorized Official - Last Name:SHODEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-548-0550
Mailing Address - Street 1:110 W RANDOL MILL RD STE 209
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-4611
Mailing Address - Country:US
Mailing Address - Phone:817-548-0550
Mailing Address - Fax:817-548-0540
Practice Address - Street 1:110 W RANDOL MILL RD STE 209
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-4611
Practice Address - Country:US
Practice Address - Phone:817-548-0550
Practice Address - Fax:817-548-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0075595332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies