Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Providence Health Services of Waco

Organization Durable Medical Equipment & Medical Supplies · NPI 1184158362

Providence Health Services of Waco provides Durable Medical Equipment & Medical Supplies in Lacy Lakeview, Texas. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1130 N Loop 340
Lacy Lakeview, TX 76705
Phone: (254) 870-6480
Fax: (254) 870-6481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1184158362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Cordola — Ceo · (512) 324-1000
NPI enumeratedApril 14, 2017
Last updated in NPPESNovember 20, 2017
Mailing address1130 N Loop 340, Lacy Lakeview, TX 76705

Other providers in Lacy Lakeview