Provident Medical Supply, Inc
NPI 1336350107 · Parenteral & Enteral Nutrition Supplies (DME) · Denton, TX
Provident Medical Supply, Inc is a Parenteral & Enteral Nutrition Supplies (DME) organization in Denton, TX (NPI 1336350107).
Provider details
- NPI number
- 1336350107
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Royce Freebourn, Owner(940) 220-6440
- License
- C08406987 (TX)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Provident Medical Supply
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Provident Medical Supply, Inc's NPI number?
- Provident Medical Supply, Inc's National Provider Identifier (NPI) is 1336350107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provident Medical Supply, Inc?
- Provident Medical Supply, Inc is classified in the NPPES registry as Parenteral & Enteral Nutrition Supplies (DME) (Suppliers).
- Where is Provident Medical Supply, Inc located?
- Provident Medical Supply, Inc's practice location on file with NPPES is 1714 Teasley Ln, Denton, TX 76205-7795.
- What is Provident Medical Supply, Inc's phone number?
- The practice phone number listed in the NPPES registry for Provident Medical Supply, Inc is (940) 383-5733.
- Who is the authorized official for Provident Medical Supply, Inc?
- The authorized official listed on Provident Medical Supply, Inc's NPPES record is Royce Freebourn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provident Medical Supply, Inc's NPI active?
- Yes — Provident Medical Supply, Inc's NPI (1336350107) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.