PROVENTIAL MEDICAL GROUP


Address: 21300 Provincial Blvd, Suite 200, Katy, TX 77450
Phone: 7135627890

PROVENTIAL MEDICAL GROUP (NPI# 1669956942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669956942
Entity Type Organization
Organization Name PROVENTIAL MEDICAL GROUP
Practice Address 21300 Provincial Blvd
Suite 200
Katy
TX 77450
Mailing Address 10507 E Wildwind Cir
Spring
TX 77380-4043
Practice Telephone 7135627890
Practice Fax Number 2816054566
Mailing Telephone 2815430012
Mailing Fax Number 2816054566
Enumeration Date 2018-09-21
Last Update Date 2018-09-21
Authorized Official Name MARK FILLEY (DIRECTOR)
Authorized Official Telephone 2815430012
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 21300 PROVINCIAL BLVD
SUITE 200
City KATY
State TX
Zip Code 77450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487945879 Mennen T. Gallas, Md Pa Plastic Surgery 21300 Provincial Blvd, Katy, TX 77450-7580 2011-04-20
1215537253 Duke Integrated Healthcare Specialists Pllc Physical Medicine & Rehabilitation 21300 Provincial Blvd, Katy, TX 77450-7580 2020-10-29
1215204268 Provincial Park Surgery Center, LLC Clinic/Center 21300 Provincial Blvd, Suite 200, Katy, TX 77450-7580 2011-11-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639652555 O'brien Counseling Services, Inc. Counselor 21368 Provincial Blvd., Katy, TX 77450 2018-09-07
1306327275 Renova Wellness Clinic Counselor 468 Park Grove Ln, Katy, TX 77450 2018-08-28
1639661556 Health Care Senior Pllc Family Medicine 21702 Balsam Brook Ln, Katy, TX 77450 2018-06-06
1679081012 Mason Sleep & Diagnostics Clinic/Center 462 S Mason Rd, Suite 400, Katy, TX 77450 2018-01-19
1508379900 Mason Diagnostic Imaging Clinic/Center 462 S Mason Road, Suite 400, Katy, TX 77450 2017-11-08
1376055384 Stella Dental Vk Pllc Dentist 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 2017-10-31
1598286031 Ammon Zukeran Dc Inc Chiropractor 416 Park Grove Ln, Katy, TX 77450 2017-07-06
1588191571 U S Anesthesia Partners of Texas, Pa Anesthesiology 777 S Fry Rd Ste 208, Katy, TX 77450 2017-05-22
1629527395 Christine Margaret Gholston Counselor 472 Park Grove, Katy, TX 77450 2016-09-23
1598213928 Kristina Reyes Counselor 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 2016-09-14
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215568035 Casey Jones LLC Pain Medicine 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 2020-01-30
1497301386 Skilled Pain Care Clinic, P.a. Pain Medicine 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 2019-08-15
1942352604 Jaime D Robledo Pain Medicine 21830 Kingsland Blvd Ste 102, Katy, TX 77450 2007-01-16
1962818385 Katy Pain Specialists, Pllc Pain Medicine 24608 Kingsland Blvd, Katy, TX 77494-9998 2014-07-07
1235463928 Jaime Robledo Md Pa Pain Medicine 21830 Kingsland Blvd Ste 102, Katy, TX 77450-2500 2009-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356958086 Universal Health Solutions LLC Pain Medicine 15223 Park Estates Ln, Houston, TX 77062-3657 2020-09-27
1366065997 Siai, Pllc Pain Medicine 149 E State Highway 121, Suite 105, Coppell, TX 75019 2020-05-18
1316568512 Pain Management Physicians of Dallas, Pllc Pain Medicine 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 2020-04-29
1376172304 Am/pm Medical Centers Pain Medicine 800 W Airport Fwy # 625, Irving, TX 75062-6312 2020-04-02
1326672866 Arthritis Relief Institute Pain Medicine 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 2020-02-24
1801435896 Comprehensive Pain Institute Pllc Pain Medicine 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 2019-12-23
1154976025 Stephen M. Sims, Md, Pa Pain Medicine 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 2019-08-07
1104479146 Shaw Pain Clinic Pllc Pain Medicine 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 2019-07-18
1013575653 University Pain Pllc Pain Medicine 4 Stillforest St, Houston, TX 77024-7518 2019-05-29
1427614379 Texas Regional Clinic Pain Medicine 8301 Katy Freeway, Suite 101, Houston, TX 77024 2019-05-16
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Competitor

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City KATY
Zip Code 77450

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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