NPI 1073506457

Providence Health Services of Waco

Organisation Durable Medical Equipment & Medical Supplies Waco, TX

Practice location

Address: 540 Meadowlake Ctr, Waco, TX 76712-3981
Phone: (254) 741-2495
Fax: (254) 741-2496
Mailing address: PO Box 201157, Dallas, TX 75320-1157

Authorised official

Name: Kent Keahey
Title: Ceo
Phone: (254) 751-4000

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Texas →

Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X Licence 000111 (TX)

Other Prosthetic/Orthotic Supplier providers in Texas →

Registry record

NPI: 1073506457
Entity type: Organization
NPI issued: 31 Aug 2005
Record last updated: 26 Jan 2012

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.