MEDICARE: PROCURA PAIN AND SPINE, PLLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1023971249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROCURA PAIN AND SPINE, PLLC

Provider Business Mailing Address
First Line	:	24018 HIGHWAY 59 N STE 260
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1536
Country	:	US
Telephone Number	:	281-446-4878
Fax Number	:

Provider Business Practice Location Address
First Line	:	24018 HIGHWAY 59 N STE 260
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1536
Country	:	US
Telephone Number	:	281-446-4878
Fax Number	:	281-446-4664

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LAKEISHA T WEAVER
Credential	:
Telephone Number	:	713-714-1399

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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