Search › Texas › 363LA2100X
Marc Provenzano
NPI 1285413922 · on the registry since 2023 · sole proprietor
Practice
- Address
- 493 N Main St
Groveton, TX 75845 - Phone
- (281) 515-8349
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-08
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