Mr. Tommy Lee Provost
Mr. Tommy Lee Provost is a Contractor in Grand Prairie, Texas. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
5832 Midnight LnGrand Prairie, TX 75052-8585
Phone: (682) 465-5267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1396111019 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2015 |
| Last updated in NPPES | August 17, 2015 |
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