PROVENTIAL MEDICAL GROUP – NPI #1669956942
Pain Medicine

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.

PROVENTIAL MEDICAL GROUP is a provider located in KATY, TX. NPPES has assigned the NPI number 1669956942 to PROVENTIAL MEDICAL GROUP on September 21, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVENTIAL MEDICAL GROUP below.

NPI Profile for
PROVENTIAL MEDICAL GROUP

NPI Number
1669956942
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVENTIAL MEDICAL GROUP
Primary location
21300 PROVINCIAL BLVD
SUITE 200
KATY, TX 77450
Phone: (713) 562-7890 Fax: (281) 605-4566
Mailing address
10507 E WILDWIND CIR
SPRING, TX 77380-4043
Phone: (281) 543-0012 Fax: (281) 605-4566
Organization Subpart
No
Authorized Official
MARK FILLEY
DIRECTOR
Phone: (281) 543-0012
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.