Providacare Medical Supply Ltd
NPI #1033360490 in Marble Falls, Texas
Provider Information
- NPI Number
- 1033360490
- Entity Type
- Organization
- Organization Name
- Providacare Medical Supply Ltd
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 3, 2008
- Last Updated
- Aug 30, 2010
Practice Location
- Address
- 1300 HWY 281
- City
- Marble Falls
- State
- Texas
- ZIP Code
- 78654-4504
- Phone
- (830) 693-7313
Authorized Official
- Name
- MR. RYAN N BENNETT
- Title
- CEO
- Phone
- (512) 733-6518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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