Individual provider · Type 1 NPI

Mark Phillip Provenzano, MD

Sports Medicine (Orthopaedic Surgery) Physician · Houston, TX

NPI number 1811094584 Active

Practice location

950 Campbell Rd
Houston, TX 77024-2804

Fax (713) 464-9582

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	G3705 (TX)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1811094584

Mark Phillip Provenzano, MD's National Provider Identifier is 1811094584, issued on Sep 17, 2006. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Houston, TX. The record was last updated on Mar 4, 2026.