Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Provenzano MD PA

Organization Specialist · NPI 1720261456

Mark Provenzano MD PA is a Specialist in Houston, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

950 Campbell Rd
Houston, TX 77024-2804
Phone: (713) 464-0077
Fax: (713) 464-9582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G3705 (TX)

Record details

NPI number1720261456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristy McDowell — Billing/Insurance · (713) 464-0077
Other names The Orthopedic Sports Clinic
NPI enumeratedDecember 17, 2007
Last updated in NPPESJune 24, 2008
Mailing addressPo Box 3961, Houston, TX 77253-3961

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