CLAIRE PROVENZANO

DALLAS, TX
NPI1477265593
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA16456)
Enumeration Date2022-12-20
Last Update Date2023-03-01
Business Address
CLAIRE PROVENZANO PA-C
7777 FOREST LN STE C106
DALLAS, TX 75230-6831
Phone number: 972-566-5255
Mailing Address
CLAIRE PROVENZANO PA-C
7777 FOREST LN STE C106
DALLAS, TX 75230-6831
Phone number: 972-566-5255
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