Patriarch Supply & Services LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0095687 Issued in TX

Legal business name

PATRIARCH SUPPLY & SERVICES LLC

Practice address

5068 W Plano Pkwy
Suite 300
Plano, TX 75093-4408

Phone

(972) 447-8228

Fax

(972) 447-8229

NPI assigned

Apr 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raphael Olusegun Anjorin

Title

President

Phone

(214) 435-2105

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1437325487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934408",
            "telephone_number": "972-447-8228",
            "fax_number": "972-447-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934408",
            "telephone_number": "972-447-8228",
            "fax_number": "972-447-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIARCH SUPPLY & SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "ANJORIN",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "OLUSEGUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-435-2105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0095687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Focus Medical Practice, PA
• Patient-Physician Network
• Punam M Patil, MD
• Patini Home Health Services Inc.
• Samantha Wanda Patino, BCBA
• Patricia a Scott, Mdpa
• Brittany Patrick, NONE
• Sara Marie Patrie, APN
• Lynda Leigh Patten, RNC, MSN, NNP-BC
• Vanessa D Patterson, MS, RD, LD

• Oxygen Equipment & Supplies (DME) in Plano, TX
• Providers in Plano, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.