MEDICARE: DR. JAMES ERNEST MAYS III M.D.

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	208800000X	Urology Physician	15310	OK

General Provider Information

NPI Number	:	1134198393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ERNEST MAYS III M.D.

Provider Business Mailing Address
First Line	:	2801 PARKLAWN DRIVE
Second Line	:	SUITE 304
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-4230
Country	:	US
Telephone Number	:	405-737-2015
Fax Number	:	405-732-0166

Provider Business Practice Location Address
First Line	:	2801 PARKLAWN DR
Second Line	:	SUITE 304
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-4211
Country	:	US
Telephone Number	:	405-737-2015
Fax Number	:	405-732-0166

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	01/13/2014

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