PROVIDENT MEDICAL SUPPLY, INC

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

Organization Active NPI 1336350107

Taxonomy & licensure

Specialty	Code	Primary	License	State
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	✓	C08406987	TX

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.