Organization · Type 2 NPI

Providence Health Services of Waco

Durable Medical Equipment & Medical Supplies · Lacy Lakeview, TX

NPI number 1184158362 Active

Practice location

1130 N Loop 340
Lacy Lakeview, TX 76705

Fax (254) 870-6481

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

4 other providers at this address

About NPI 1184158362

Providence Health Services of Waco's National Provider Identifier is 1184158362, issued on Apr 14, 2017. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Lacy Lakeview, TX. The record was last updated on Nov 20, 2017.