Providacare Medical Supply, Ltd.

NPI #1316243728 in Temple, Texas

Provider Information

NPI Number: 1316243728
Entity Type: Organization
Organization Name: Providacare Medical Supply, Ltd.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Feb 2, 2011
Last Updated: Feb 2, 2011

Practice Location

Address: 1514 S 31ST ST
City: Temple
State: Texas
ZIP Code: 76504-6752
Phone: (254) 778-2727

Authorized Official

Name: MR. RYAN N BENNETT
Title: PARTNER
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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