Provident Medical Supply, Inc
Parenteral & Enteral Nutrition
1714 Teasley Ln, Suite 101, Denton
Texas, 76205-7795
940-383-5733 940-383-5700
Provident Medical Supply, Inc is a Parenteral & Enteral Nutrition in Denton, Texas. It is located at 1714 Teasley Ln, Suite 101, Denton and it's customer support contact number is 940-383-5733. The authorized person of Provident Medical Supply, Inc is Mr. Royce Freebourn, R.N. who is Owner of this DME and his contact number is 940-220-6440. Active license number of Provident Medical Supply, Inc is C08406987 for Parenteral & Enteral Nutrition in Texas.
Provident Medical Supply, Inc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Provident Medical Supply, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Provident Medical Supply, Inc |
| Type: | Parenteral & Enteral Nutrition |
| Location: | 1714 Teasley Ln, Suite 101, Denton,
Texas, 76205-7795 |
| Phone: | 940-383-5733 |
| Fax: | 940-383-5700 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Royce Freebourn |
| Credentials: | R.N. |
| Position: | Owner |
| Contact Number: | 940-220-6440 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1336350107 |
| NPI Enumeration Date: | 24 May, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Provident Medical Supply, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Parenteral & Enteral Nutrition | C08406987 | Texas | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1714 Teasley Ln, Suite 101
Denton, Texas |
| Zip: | 76205-7795 |
| Phone Number: | 940-383-5733 |
| Fax Number: | 940-383-5700 |
Patients can reach Provident Medical Supply, Inc at
1714 Teasley Ln, Suite 101, Denton, Texas or can
call on customer care at 940-383-5733.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.