Providacare Medical Supply Ltd

NPI #1043326481 in Waco, Texas

Provider Information

NPI Number: 1043326481
Entity Type: Organization
Organization Name: Providacare Medical Supply Ltd
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Aug 21, 2006
Last Updated: Jun 19, 2013

Practice Location

Address: 8300 OLD MCGREGOR RD
Address 2: STE 1B
City: Waco
State: Texas
ZIP Code: 76712-3600
Phone: (254) 778-2727

Authorized Official

Name: MR. RYAN N BENNETT
Title: CEO
Phone: (512) 733-6518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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