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Search › Texas › 363A00000X

Claire Provenzano, PA-C

NPI 1477265593 · on the registry since 2022 · sole proprietor

Practice

Address
7777 Forest Ln Ste C106
Dallas, TX 75230
Phone
(972) 566-5255
Fax
(972) 566-5236
Organisation at this address
Proassist
Walgreen Co
Walgreen Co
Repitest Pa
Love Wounds
Inferred from a shared address, not stated in the registry.
Clinicians at this address
672

Additional practice sites

  • 5500 Frisco Square Blvd, Frisco, TX
  • 4001 W 15th St Ste 180, Plano, TX
  • 5575 Frisco Square Blvd Ste 260, Frisco, TX

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-01

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