Providence Holdings Inc.

NPI #1568513984 in Rowlett, Texas

Provider Information

NPI Number
1568513984
Entity Type
Organization
Organization Name
Providence Holdings Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 13, 2007
Last Updated
Sep 29, 2009

Practice Location

Address
2110 HILLSIDE DR
Address 2
SUITE 100
State
Texas
ZIP Code
75088-1514
Phone
(972) 974-6141

Authorized Official

Name
PATRICK IYEN OMORAGBON
Title
PRESIDENT
Phone
(972) 974-6141

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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