MR. TOMMY LEE PROVOST
NPI 1396111019
Contractor in Grand Prairie, TX

Active since August 17, 2015
5832 MIDNIGHT LN, GRAND PRAIRIE, TX 75052(682) 465-5267 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Tommy Lee Provost NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TOMMY LEE PROVOST (NPI 1396111019) is an individual contractor provider in Grand Prairie, Texas and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1396111019
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameMR. TOMMY LEE PROVOST
Location Address5832 MIDNIGHT LNGrand Prairie, TX 75052-8585
Mailing Address5832 Midnight LnGrand Prairie, TX 75052-8585 · (682) 465-5267
Sole ProprietorYes
Enumeration DateAugust 17, 2015
NPI 1396111019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
5832 MIDNIGHT LN, Grand Prairie, TX 75052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tommy Provost's NPI number?

The NPI number for Tommy Provost is 1396111019. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Tommy Provost located?

Tommy Provost practices at 5832 Midnight Ln, Grand Prairie, TX 75052. The listed phone number is (682) 465-5267.

What is Tommy Provost's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Tommy Provost was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.