DAVID ANDERS PROVOST

TEMPLE, TX
NPI1396709291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: TX  H4629)
Enumeration Date2006-04-17
Last Update Date2021-01-05
Business Address
DAVID ANDERS PROVOST MD
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
Mailing Address
DAVID ANDERS PROVOST MD
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-8800
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