Provident Medical Supply, Inc

Organization Parenteral & Enteral Nutrition Supplies (DME) · NPI 1336350107

Provident Medical Supply, Inc is a Parenteral & Enteral Nutrition Supplies (DME) in Denton, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in: TX
In the registry since: 2007

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1714 Teasley Ln Ste 101
Denton, TX 76205-7795
Phone: (940) 383-5733
Fax: (940) 383-5700

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

Specialties & licences

Parenteral & Enteral Nutrition Supplies (DME) (primary)	Taxonomy 332BP3500X · Licence C08406987 (TX)

Record details

NPI number	1336350107
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Royce Freebourn — Owner · (940) 220-6440
Other names	Provident Medical Supply
NPI enumerated	May 24, 2007
Last updated in NPPES	August 22, 2020
Mailing address	1714 Teasley Ln, Suite 101, Denton, TX 76205-7795