Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TOMMY LEE PROVOST
Active Sole ProprietorMR. TOMMY LEE PROVOST is a Contractor healthcare provider located in GRAND PRAIRIE, Texas. NPI 1396111019 is currently active in the NPPES registry. Verify at CMS.
Contractor · GRAND PRAIRIE, TX
Registration Details
- NPI Number
- 1396111019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2015 (11.015946285578 yrs)
- Last Updated
- Aug 17, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
5832 MIDNIGHT LNGRAND PRAIRIE, TX, 750528585Browse TX providers · Browse ZIP 75052
- Phone
- 6824655267
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in GRAND PRAIRIE, TX
| Name | Credential | NPI |
|---|---|---|
| DWIGHT LEE | — | 1801904644 |
| MRS. SHARON RUTH JACKSON | — | 1134200389 |
| MRS. CLAUDE RUSSELL TROTTER III | — | 1710126230 |
| MARCIE FRAZIER-MARTIN | — | 1073829883 |
| REGINAH MBULA NGWILI | — | 1104308931 |
| SIDDIG IZZELDIN SIDDIG | — | 1851969984 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.