institution
Pruett Medical, Inc.
Parenteral & Enteral Nutrition Supplies (DME) in Waco, Texas
NPI 1194756296

Pruett Medical, Inc. is a Parenteral & Enteral Nutrition Supplies (DME) based in Waco, TX and is specialized in Parenteral & Enteral Nutrition. Pruett Medical, Inc. practices in Waco, TX. The NPI Number for Pruett Medical, Inc. is 1194756296 and holds a License No. 0034661 (Texas).

The current practice location address for Pruett Medical, Inc. is 6813 Cactus, Waco, TX and can be reached out via phone at 254-772-0040 and via fax at 254-772-1110.

Location: 6813 Cactus, Waco, TX, 76702-1445
institution
Provider Profile Details
NPI Number
1194756296
Provider Name
Pruett Medical, Inc.
Credential
Provider Entity Type
Organization
Address
6813 Cactus, Waco, TX, 76702-1445
Phone Number
254-772-0040
Fax Number
254-772-1110
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000508611 01 BLUE CROSS BLUE SHIELD TX
J09900025015 01 SIERRA HEALTH AND LIFE
0005231045 01 AETNA
institution
Provider Business Practice Location Address Details
Address
6813 Cactus
City
State
Zip
76712-6160
Phone Number
254-772-0040
Fax Number
254-772-1110
person
Provider Business Mailing Address Details
Address
6813 Cactus
City
State
Zip
76712-6160
Phone Number
254-772-0040
Fax Number
254-772-1110
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
License No.
0034661 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
0034661 (Texas)
Definition
Definition to come...
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