OrganizationActive
Provisioncare Medical
NPI 1144884826 · Family Medicine Physician · Humble, TX
Provisioncare Medical is a Family Medicine Physician organization in Humble, TX (NPI 1144884826).
Provider details
- NPI number
- 1144884826
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derrick Traylor, Ceo(503) 901-5733
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11501 N Sam Houston Pkwy E Ste a
Humble, TX 77396-4635
Phone: (281) 652-5612
Fax: (346) 980-4054
Street-level locationGet directions
Mailing address
14700 Woodson Park Dr Apt 1512
Houston, TX 77044-4531
Other names (DBA / former)
- Doing business as
- Mancavemd
Registry dates
- Enumerated
- 2019-04-28
- Last updated
- 2019-06-11
Frequently asked questions
- What is Provisioncare Medical's NPI number?
- Provisioncare Medical's National Provider Identifier (NPI) is 1144884826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provisioncare Medical?
- Provisioncare Medical is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Provisioncare Medical located?
- Provisioncare Medical's practice location on file with NPPES is 11501 N Sam Houston Pkwy E Ste a, Humble, TX 77396-4635.
- What is Provisioncare Medical's phone number?
- The practice phone number listed in the NPPES registry for Provisioncare Medical is (281) 652-5612.
- Who is the authorized official for Provisioncare Medical?
- The authorized official listed on Provisioncare Medical's NPPES record is Derrick Traylor, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provisioncare Medical's NPI active?
- Yes — Provisioncare Medical's NPI (1144884826) is active in the NPPES registry as of the last update on 2019-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.