MEDICARE: M & D PROFESSIONAL ENTERPRIZES PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	261QP2400X	Prison Health Clinic/Center
3	261QH0100X	Health Service Clinic/Center
4	101Y00000X	Counselor
5	251S00000X	Community/Behavioral Health Agency
6	251B00000X	Case Management Agency
7	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
8	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1780365395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M & D PROFESSIONAL ENTERPRIZES PLLC

Provider Business Mailing Address
First Line	:	618 E 1ST ST STE E
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4639
Country	:	US
Telephone Number	:	346-355-6534
Fax Number	:	877-869-0801

Provider Business Practice Location Address
First Line	:	618 1ST STREET E
Second Line	:	UNIT E
City	:	HUMBLE
State	:	TX
Zip	:	77338-4607
Country	:	US
Telephone Number	:	346-452-7533
Fax Number	:	877-869-0801

Authorized Official
Title or Position	:	PSYCHIATRIC NURSE PRACTITIONER
Name	:	DON LASHONI COWLEY
Credential	:	APRN PMHNP-BC
Telephone Number	:	346-452-7533

Provider Enumeration Date	:	07/27/2023
Last Update Date	:	09/03/2025

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