What is Tommy Provost's NPI number?

Tommy Provost's National Provider Identifier (NPI) is 1396111019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tommy Provost's specialty?

Tommy Provost is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).

Where is Tommy Provost located?

Tommy Provost's practice location on file with NPPES is 5832 Midnight Ln, Grand Prairie, TX 75052-8585.

What is Tommy Provost's phone number?

The practice phone number listed in the NPPES registry for Tommy Provost is (682) 465-5267.

Is Tommy Provost's NPI active?

Yes — Tommy Provost's NPI (1396111019) is active in the NPPES registry as of the last update on 2015-08-17.

IndividualActive

Tommy Provost

NPI 1396111019 · Contractor · Grand Prairie, TX

Tommy Provost is a Contractor provider in Grand Prairie, TX (NPI 1396111019).

Provider details

NPI number: 1396111019
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

ContractorPrimary171W00000X
Other Service Providers

Profile Score

Established profile(67/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5832 Midnight Ln

Grand Prairie, TX 75052-8585

Phone: (682) 465-5267

Street-level locationGet directions

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Mailing address