PROVENTIAL MEDICAL GROUP

KATY, TX
NPI1669956942
Entity TypeOrganization
Authorized ContactMARK FILLEY
Director
281-543-0012
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date2018-09-21
Last Update Date2018-09-21
Business Address
PROVENTIAL MEDICAL GROUP
21300 PROVINCIAL BLVD SUITE 200
KATY, TX 77450
Phone number: 713-562-7890
Mailing Address
PROVENTIAL MEDICAL GROUP
10507 E WILDWIND CIR
SPRING, TX 77380-4043
Phone number: 281-543-0012
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