Organization · Type 2 NPI

Providacare Medical Supply, Ltd.

Oxygen Equipment & Supplies (DME) · Temple, TX

NPI number 1316243728 Active

Practice location

1514 S 31st St
Temple, TX 76504-6752

Fax (254) 778-2729

Mailing address

3721 Executive Center Drive, Ste 102
Austin, TX 78731-1615

Specialties and licenses

TaxonomyCodeLicense
Oxygen Equipment & Supplies (DME) Primary 332BX2000X1000495 (TX)

Oxygen Equipment & Supplies (DME): Definition to come...

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About NPI 1316243728

Providacare Medical Supply, Ltd.'s National Provider Identifier is 1316243728, issued on Feb 2, 2011. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Temple, TX. The record was last updated on Feb 2, 2011.