MR. TOMMY LEE PROVOST – Contractor, NPI 1396111019
Contractor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. TOMMY LEE PROVOST
5832 MIDNIGHT LN
GRAND PRAIRIE, TX 750528585
Phone: (682) 465-5267
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75052)
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