Provost, Tommy Lee

Provost, Tommy Lee is an sole proprietor health care provider with primary practice located at 5832 Midnight Ln , Grand Prairie TX 75052-8585. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Provost, Tommy Lee can be contacted via phone (682) 465-5267.

Contact Information

Primary practice address
5832 Midnight Ln Grand Prairie TX 75052-8585
Phone: (682) 465-5267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1396111019
LBN Legal business name Provost, Tommy Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2015
Last updated Aug 17th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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