Marc Provenzano is one of 107 nurse practitioners practicing in Humble, Texas .
Marc Provenzano practices with Hospitalist Medicine Physicians Of Texas PLLC.
Registry record (NPPES)
NPI
1285413922
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Address on file
493 N Main St
Enumerated
Sep 22, 2023
Record last updated
Oct 8, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
18951 N Memorial DrHumble , TX 77338
1717 Hwy 59 Loop N Memorial Medical LivingstonLivingston , TX 77351
More nurse practitioners in Humble
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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