OrganizationActive
Mark Provenzano MD PA
NPI 1720261456 · Specialist · Houston, TX
Mark Provenzano MD PA is a Specialist organization in Houston, TX (NPI 1720261456).
Provider details
- NPI number
- 1720261456
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kristy Mcdowell, Billing/Insurance(713) 464-0077
- License
- G3705 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
950 Campbell Rd
Houston, TX 77024-2804
Phone: (713) 464-0077
Fax: (713) 464-9582
Street-level locationGet directions
Mailing address
Po Box 3961
Houston, TX 77253-3961
Other names (DBA / former)
- Doing business as
- The Orthopedic Sports Clinic
Registry dates
- Enumerated
- 2007-12-17
- Last updated
- 2008-06-24
Frequently asked questions
- What is Mark Provenzano MD PA's NPI number?
- Mark Provenzano MD PA's National Provider Identifier (NPI) is 1720261456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark Provenzano MD PA?
- Mark Provenzano MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mark Provenzano MD PA located?
- Mark Provenzano MD PA's practice location on file with NPPES is 950 Campbell Rd, Houston, TX 77024-2804.
- What is Mark Provenzano MD PA's phone number?
- The practice phone number listed in the NPPES registry for Mark Provenzano MD PA is (713) 464-0077.
- Who is the authorized official for Mark Provenzano MD PA?
- The authorized official listed on Mark Provenzano MD PA's NPPES record is Kristy Mcdowell, Billing/Insurance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark Provenzano MD PA's NPI active?
- Yes — Mark Provenzano MD PA's NPI (1720261456) is active in the NPPES registry as of the last update on 2008-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.