OrganizationActive
Provential Medical Group
NPI 1669956942 · Interventional Pain Medicine Physician · Katy, TX
Provider details
- NPI number
- 1669956942
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Filley, Director(281) 543-0012
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 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
21300 Provincial Blvd
Suite 200
Katy, TX 77450
Phone: (713) 562-7890
Fax: (281) 605-4566
Street-level locationGet directions
Mailing address
10507 E Wildwind Cir
Spring, TX 77380-4043
Registry dates
- Enumerated
- 2018-09-21
- Last updated
- 2018-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.