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ROYAL HAVEN MEDICAL
NPI 1740895911
Nurse Practitioner - Primary Care in Mansfield, TX

Active since September 14, 2020
2384 HIGHWAY 287 N STE 216, MANSFIELD, TX 76063(817) 400-0433(817) 415-6595 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Sep 14, 2020 (2 updates tracked since 2020).

About Royal Haven Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROYAL HAVEN MEDICAL (NPI 1740895911) is a healthcare organization registered as a primary care in Mansfield, Texas and active in the NPI registry since September 2020. The organization lists Paidamoyo Wagoneka, Owner, as its authorized official.

NPPES Registry Identity

NPI1740895911
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameROYAL HAVEN MEDICAL
Location Address2384 HIGHWAY 287 N STE 216Mansfield, TX 76063-9207
Mailing Address2384 Highway 287 N Ste 216Mansfield, TX 76063-9207 · (817) 400-0433 · Fax (817) 415-6595
Phone(817) 400-0433
Fax(817) 415-6595
Organization SubpartNo
Authorized OfficialPaidamoyo WagonekaOwner · (817) 400-0433
Enumeration DateSeptember 14, 2020
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1740895911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
2384 HIGHWAY 287 N STE 216, Mansfield, TX 76063
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEAL TECH MED LLC
Nurse Practitioner (Family)
2384 HIGHWAY 287 N STE 216
MANSFIELD, TX 76063
Tarrant County (469) 567-9974
PAIDAMOYO YVONNE WAGONEKA
Nurse Practitioner (Family)
2384 HIGHWAY 287 N STE 216
MANSFIELD, TX 76063
Tarrant County (817) 400-0433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Royal Haven Medical's NPI number?

The NPI number for Royal Haven Medical is 1740895911. It was assigned to this organization in the NPPES registry on September 14, 2020.

Where is Royal Haven Medical located?

Royal Haven Medical is located at 2384 Highway 287 N Ste 216, Mansfield, TX 76063. The listed phone number is (817) 400-0433.

What is Royal Haven Medical's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

What insurance does Royal Haven Medical accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Royal Haven Medical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Royal Haven Medical was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.