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Provident Medical Supply, Inc — NPI 1336350107, Denton, TX | NPI Central

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NPI 1336350107

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Provident Medical Supply, Inc

NPI 1336350107 · Parenteral & Enteral Nutrition Supplies (DME) · Denton, TX

Provider details

NPI number: 1336350107
Entity type: Organization
Primary specialty: Parenteral & Enteral Nutrition Supplies (DME)Suppliers
Authorized official: Royce Freebourn, Owner
License: C08406987 (TX)

Practice location

1714 Teasley Ln

Suite 101

Denton, TX 76205-7795

Phone: (940) 383-5733

Fax: (940) 383-5700

More TX providers

Mailing address

1714 Teasley Ln

Denton, TX 76205-7795

Registry dates

Enumerated: 2007-05-24
Last updated: 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.