NPI 1043326481
Providacare Medical Supply LTD
Practice location
- Address
- 8300 Old McGregor Rd STE 1b, Waco, TX 76712-3600
- Phone
- (254) 778-2727
- Mailing address
- PO Box 27010, Austin, TX 78755-2010
Authorised official
- Name
- Ryan N Bennett
- Title
- Ceo
- Phone
- (512) 733-6518
Registered specialties
Oxygen Equipment & Supplies (DME)
Primary
Registry record
- NPI
- 1043326481
- Entity type
- Organization
- NPI issued
- 21 Aug 2006
- Record last updated
- 19 Jun 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.