NPI age
19 years
Enumerated 2006-09-17
● Active
Type 1 · Individual
Mark Phillip Provenzano, M.D.
Provenzano is 1 of 51 orthopaedic surgery providers in Houston and 1 of 311 in Texas.
Primary specialty
Orthopaedic Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 311 active orthopaedic surgery providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
48% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
950 Campbell Rd
Houston, TX 770242804
Mailing address
950 Campbell Rd
Houston, TX 770242804
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | MDG3705 | LICENSE NUMBER |
| 01 (TX) | 0025EP | BCBS PROVIDER # |
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new orthopaedic surgery provider has been added in Houston in the last 180 days.
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