Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Royal Haven Medical

Organization Primary Care Nurse Practitioner · NPI 1740895911

Royal Haven Medical provides Primary Care Nurse Practitioner services in Mansfield, Texas. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2384 Highway 287 N Ste 216
Mansfield, TX 76063-9207
Phone: (817) 400-0433
Fax: (817) 415-6595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1740895911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paidamoyo Wagoneka — Owner · (817) 400-0433
NPI enumeratedSeptember 14, 2020
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address2384 Highway 287 N Ste 216, Mansfield, TX 76063-9207

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