Mark Phillip Provenzano, MD

Orthopedic surgeon in Houston, Texas · NPI 1811094584

Mark Provenzano is one of 252 orthopedic surgeons practicing in Houston, Texas. Mark Provenzano practices with Mark Provenzano MD PA.

Registry record (NPPES)

NPI
1811094584
Type
Type 1 · Individual
Primary taxonomy
Orthopaedic Surgery, Sports Medicine · 207XX0005X
Address on file
950 Campbell Rd
Houston, TX 77024-2804
(713) 464-0077
Enumerated
Sep 17, 2006
Record last updated
Mar 4, 2026
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Orthopedic Surgery
Revalidation due
No date set by CMS

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Practice locations

More orthopedic surgeons in Houston

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.