Marc Provenzano
Marc Provenzano is a Nurse Practitioner in Groveton, Texas. Qualified in 2022, 4 years ago. Practices with Hospitalist Medicine Physicians of Texas PLLC, a 701-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 4
- Licensed in
- TX
- In the registry since
- 2023
Practice location Address checks out
493 N Main StGroveton, TX 75845-2498
Phone: (281) 515-8349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 1119122 (TX) |
|---|
Record details
| NPI number | 1285413922 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 22, 2023 |
| Last updated in NPPES | October 8, 2024 |
| Certification date | October 8, 2024 |
| Mailing address | Po Box 395, Groveton, TX 75845-0395 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Hospitalist Medicine Physicians Of Texas Pllc — 701 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |