Provential Medical Group
Provential Medical Group is an Interventional Pain Medicine Physician in Katy, Texas. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
21300 Provincial Blvd Ste 200Katy, TX 77450
Phone: (713) 562-7890
Fax: (281) 605-4566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X |
|---|
Record details
| NPI number | 1669956942 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Filley — Director · (281) 543-0012 |
| NPI enumerated | September 21, 2018 |
| Last updated in NPPES | September 21, 2018 |
| Mailing address | 10507 E Wildwind Cir, Spring, TX 77380-4043 |
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