Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVIDENT MEDICAL SUPPLY, INC
Active OrganizationPROVIDENT MEDICAL SUPPLY, INC is a Parenteral & Enteral Nutrition (DME) organization located in DENTON, Texas. NPI 1336350107 is currently active in the NPPES registry. Verify at CMS.
Parenteral & Enteral Nutrition (DME) · DENTON, TX
Registration Details
- NPI Number
- 1336350107
- Provider Type
- Organization
- NPI Issued
- May 24, 2007 (19.268532935784 yrs)
- Last Updated
- Aug 22, 2020
- License
-
C08406987 (TX)
Practice Information
- Address
-
1714 TEASLEY LNSUITE 101DENTON, TX, 762057795Browse TX providers · Browse ZIP 76205
- Phone
- 9403835733
- Fax
- 9403835700
- Primary Specialty
-
Parenteral & Enteral Nutrition (DME)
332BP3500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.