Royal Haven Medical

NPI #1740895911 in Mansfield, Texas

Provider Information

NPI Number
1740895911
Entity Type
Organization
Organization Name
Royal Haven Medical
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Sep 14, 2020
Last Updated
Jun 10, 2025

Practice Location

Address
2384 HIGHWAY 287 N STE 216
State
Texas
ZIP Code
76063-9207
Phone
(817) 400-0433

Authorized Official

Name
PAIDAMOYO WAGONEKA
Title
OWNER
Phone
(817) 400-0433

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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