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Mark Phillip Provenzano, MD
Sports Medicine (Orthopedic Surgery) Physician in Houston, Texas
NPI 1811094584

Mark Phillip Provenzano is a Sports Medicine (Orthopedic Surgery) Physician based in Houston, TX and is specialized in Sports Medicine. Mark Phillip Provenzano practices in Houston, TX and has the professional credentials of MD. The NPI Number for Mark Phillip Provenzano is 1811094584 and holds a License No. 207XX0005X (Texas).

The current practice location address for Mark Phillip Provenzano is 950 Campbell Rd, Houston, TX and can be reached out via phone at 713-464-0077 and via fax at 713-464-9582.

Location: 950 Campbell Rd, Houston, TX, 77024-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811094584
Provider Name
Mark Phillip Provenzano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
950 Campbell Rd, Houston, TX, 77024-2804
Phone Number
713-464-0077
Fax Number
713-464-9582
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MDG3705 01 TX LICENSE NUMBER
0025EP 01 TX BCBS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
950 Campbell Rd
City
Houston
State
Texas
Zip
77024-2804
Phone Number
713-464-0077
Fax Number
713-464-9582
person
Provider Business Mailing Address Details
Address
950 Campbell Rd
City
Houston
State
Texas
Zip
77024-2804
Phone Number
713-464-0077
Fax Number
713-464-9582
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Sports Medicine
Taxonomy
207XX0005X
License No.
207XX0005X (Texas)
Definition
An orthopedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
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