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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK PROVENZANO MD PA

Active Organization

MARK PROVENZANO MD PA is a Specialist organization located in HOUSTON, Texas. NPI 1720261456 is currently active in the NPPES registry. Verify at CMS.

Specialist · HOUSTON, TX

Registration Details

NPI Number
1720261456
Provider Type
Organization
NPI Issued
Dec 17, 2007 (18.650052922178 yrs)
Last Updated
Jun 24, 2008
License
G3705 (TX)

Practice Information

Address
950 CAMPBELL RD
HOUSTON, TX, 770242804
Browse TX providers · Browse ZIP 77024
Phone
7134640077
Fax
7134649582
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.