MARK PROVENZANO MD PA

HOUSTON, TX
NPI1720261456
Entity TypeOrganization
Authorized ContactKRISTY MCDOWELL
Billing/Insurance
713-464-0077
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: TX  G3705)
Enumeration Date2007-12-17
Last Update Date2008-06-24
Business Address
MARK PROVENZANO MD PA
950 CAMPBELL RD
HOUSTON, TX 77024-2804
Phone number: 713-464-0077
Mailing Address
MARK PROVENZANO MD PA
PO BOX 3961
HOUSTON, TX 77253-3961
Phone number:
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