MARK PHILLIP PROVENZANO

HOUSTON, TX
NPI1811094584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: TX  207XX0005X)
Enumeration Date2006-09-17
Last Update Date2014-05-23
Business Address
-- MARK PHILLIP PROVENZANO M.D.
950 CAMPBELL RD
HOUSTON, TX 77024-2804
Phone number: 713-464-0077
Mailing Address
-- MARK PHILLIP PROVENZANO M.D.
950 CAMPBELL RD
HOUSTON, TX 77024-2804
Phone number: 713-464-0077
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