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 is a Primary Care Nurse Practitioner 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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