Individual
TATIYANA PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10950 RESOURCE PKWY STE A, HOUSTON, TX 77089-6158
(281) 484-5587
Mailing address
PO BOX 57845, WEBSTER, TX 77598-7845
(281) 484-5587
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1224031
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1224031
TX
Other
Enumeration date
01/15/2026
Last updated
02/23/2026
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