Organization · Type 2 NPI

Provident Medical Supply, Inc

Parenteral & Enteral Nutrition Supplies (DME) · Denton, TX

NPI number 1336350107 Active

Practice location

1714 Teasley Ln, Suite 101
Denton, TX 76205-7795

Call (940) 383-5733 Map

Fax (940) 383-5700

Specialties and licenses

TaxonomyCodeLicense
Parenteral & Enteral Nutrition Supplies (DME) Primary 332BP3500XC08406987 (TX)

Parenteral & Enteral Nutrition Supplies (DME): Definition to come...

About NPI 1336350107

Provident Medical Supply, Inc's National Provider Identifier is 1336350107, issued on May 24, 2007. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Denton, TX. The record was last updated on Aug 22, 2020.