Provident Medical Supply

LBN: Provident Medical Supply, Inc
Provident Medical Supply is an health care organization with primary practice located at 1714 Teasley Ln Suite 101, Denton TX 76205-7795. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. Provident Medical Supply, Inc can be contacted via phone (940) 383-5733, or through Freebourn, Royce via phone (940) 220-6440.

Contact Information

Primary practice address
1714 Teasley Ln Suite 101 Denton TX 76205-7795
Phone: (940) 383-5733
Fax: (940) 383-5700
Website:
Map and Directions
Authorized official contact:
Name: Freebourn, Royce Registered Nurse (RN)
Phone: (940) 220-6440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X C08406987 Texas

Profile Details

NPI number 1336350107
LBN Legal business name Provident Medical Supply, Inc
DBA Doing business as Provident Medical Supply
Authorized official Freebourn, Royce Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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