MEDICARE: MEDICAL PRACTICE MANAGEMENT ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	163WW0000X	Wound Care Registered Nurse
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1043141708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL PRACTICE MANAGEMENT ASSOCIATES

Provider Business Mailing Address
First Line	:	3602 BLUE CYPRESS DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-5709
Country	:	US
Telephone Number	:	281-595-0069
Fax Number	:	281-595-0067

Provider Business Practice Location Address
First Line	:	3602 BLUE CYPRESS DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-5709
Country	:	US
Telephone Number	:	281-595-0069
Fax Number	:	281-595-0067

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	LOVELL DAVIS
Credential	:
Telephone Number	:	757-572-6686

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “MEDICAL PRACTICE MANAGEMENT ASSOCIATES ” Practice Location

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