institution
Provident Medical Supply, Inc
Parenteral & Enteral Nutrition Supplies (DME) in Denton, Texas
NPI 1336350107

Provident Medical Supply, Inc is a Parenteral & Enteral Nutrition Supplies (DME) based in Denton, TX and is specialized in Parenteral & Enteral Nutrition. Provident Medical Supply, Inc practices in Denton, TX. The NPI Number for Provident Medical Supply, Inc is 1336350107 and holds a License No. C08406987 (Texas).

The current practice location address for Provident Medical Supply, Inc is 1714 Teasley Ln, Denton, TX and can be reached out via phone at 940-383-5733 and via fax at 940-383-5700.

Location: 1714 Teasley Ln, Denton, TX, 76205-7795
institution
Provider Profile Details
NPI Number
1336350107
Provider Name
Provident Medical Supply, Inc
Credential
Provider Entity Type
Organization
Address
1714 Teasley Ln, Denton, TX, 76205-7795
Phone Number
940-383-5733
Fax Number
940-383-5700
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1714 Teasley Ln
City
State
Zip
76205-7795
Phone Number
940-383-5733
Fax Number
940-383-5700
person
Provider Business Mailing Address Details
Address
1714 Teasley Ln
City
State
Zip
76205-7795
Phone Number
940-383-5733
Fax Number
940-383-5700
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
C08406987 (Texas)
Definition
Definition to come...
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