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PROVIDENT MEDICAL SUPPLY
NPI 1336350107
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Denton, TX

Active since May 24, 2007
1714 TEASLEY LN, SUITE 101, DENTON, TX 76205(940) 383-5733(940) 383-5700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Provident Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENT MEDICAL SUPPLY (NPI 1336350107) is a healthcare organization registered as a parenteral & enteral nutrition in Denton, Texas and active in the NPI registry since May 2007. The organization lists Royce Freebourn, Owner, as its authorized official.

NPPES Registry Identity

NPI1336350107
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NamePROVIDENT MEDICAL SUPPLY, INC
Location Address1714 TEASLEY LN, SUITE 101Denton, TX 76205-7795
Mailing Address1714 Teasley Ln, Suite 101Denton, TX 76205-7795 · (940) 383-5733 · Fax (940) 383-5700
Phone(940) 383-5733
Fax(940) 383-5700
Organization SubpartNo
Authorized OfficialRoyce FreebournOwner · (940) 220-6440
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336350107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers
Taxonomy Code332BP3500X
License✔ Licensed in TX · C08406987
1714 TEASLEY LN, Denton, TX 76205
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Other Names 1

Other NameProvident Medical Supply

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provident Medical Supply, Inc's NPI number?

The NPI number for Provident Medical Supply, Inc is 1336350107. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is also known as Provident Medical Supply.

Where is Provident Medical Supply, Inc located?

Provident Medical Supply, Inc is located at 1714 Teasley Ln Suite 101, Denton, TX 76205. The listed phone number is (940) 383-5733.

What is Provident Medical Supply, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

When was this NPI record last updated?

The NPPES record for Provident Medical Supply, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.