Search › Texas › 183700000X
Danielle Provencio, CPHT
NPI 1225816242 · on the registry since 2023
Practice
- Address
- 104 N Hasler Blvd
Bastrop, TX 78602 - Phone
- (512) 321-1033
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas