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

Mark Provenzano MD PA

Organization Specialist · NPI 1720261456

Mark Provenzano MD PA provides Specialist services 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 Not confirmed with CMS for 18 years — call before visiting
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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