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Marc Provenzano
Acute Care Nurse Practitioner in Groveton, Texas
NPI 1285413922

Marc Provenzano is an Acute Care Nurse Practitioner based in Groveton, TX and is specialized in Acute Care. Marc Provenzano practices in Groveton, TX. The NPI Number for Marc Provenzano is 1285413922 and holds a License No. 1119122 (Texas).

The current practice location address for Marc Provenzano is 493 N Main St, Groveton, TX and can be reached out via phone at 281-515-8349.

Location: 493 N Main St, Groveton, TX, 75845-0395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285413922
Provider Name
Marc Provenzano
Credential
Provider Entity Type
Individual
Gender
Male
Address
493 N Main St, Groveton, TX, 75845-0395
Phone Number
281-515-8349
Fax Number
Provider Enumeration Date
09/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
493 N Main St
City
Groveton
State
Texas
Zip
75845-2498
Phone Number
281-515-8349
Fax Number
person
Provider Business Mailing Address Details
Address
493 N Main St
City
Groveton
State
Texas
Zip
75845-2498
Phone Number
281-515-8349
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
1119122 (Texas)
Definition
Definition to come...
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