MEDICARE: ANDREW JOSEPH LOVELL DO

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5921	OK
2	207Q00000X	Family Medicine Physician	P5672	TX

General Provider Information

NPI Number	:	1902185077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW JOSEPH LOVELL DO

Provider Business Mailing Address
First Line	:	3800 MAIN ST
Second Line	:	SUITE 100
City	:	THE COLONY
State	:	TX
Zip	:	75056-2835
Country	:	US
Telephone Number	:	214-423-4141
Fax Number	:

Provider Business Practice Location Address
First Line	:	9220 S PENNSYLVANIA AVE STE A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6909
Country	:	US
Telephone Number	:	405-703-8860
Fax Number	:	405-900-4985

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2011
Last Update Date	:	03/30/2026

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