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MARK PROVENZANO, O.D.
O.D.
Optometrist
NPI: 1942486428IndividualAccepts Medicare
Specialties, Licenses & Credentials
OptometristPrimary
Optometrist
Code: 152W00000X
3979TG(TX)
CMS Specialties
PrimaryOPTOMETRY
Education
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Class of 1988
Contact & Hours
- Address
- 123 CIRCLE WAY
LAKE JACKSON, TX 77566 - Phone
- (979) 299-3250
Quick Facts
- NPI
- 1942486428
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 38
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