Pruett Medical, Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

0034661 Issued in TX

Legal business name

PRUETT MEDICAL, INC.

Practice address

6813 Cactus
Waco, TX 76712-6160

Phone

(254) 772-0040

Fax

(254) 772-1110

NPI assigned

Jul 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anne C Pruett

Title

President/C.O.B.

Phone

(254) 772-0040

Specialties & licenses 2

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194756296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21445",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767021445",
            "telephone_number": "254-772-0040",
            "fax_number": "254-772-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6813 CACTUS",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126160",
            "telephone_number": "254-772-0040",
            "fax_number": "254-772-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUETT MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PRUETT",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/C.O.B.",
        "authorized_official_telephone_number": "254-772-0040"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "0034661",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0034661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0000508611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIERRA HEALTH AND LIFE",
            "identifier": "J09900025015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005231045",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Health Services of Waco
• Providence Health Services of Waco
• Providence Health Services of Waco, Inc
• Providence Park, Inc.
• Providerx of Waco LLC
• Belinda Pruitt
• Pat Pryor, M.D.
• Psylrw, Inc
• Victoria Reid Puckett
• Miley O Pulliam

• Parenteral & Enteral Nutrition Supplies (DME) in Waco, TX
• Providers in Waco, TX by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.