MEDICARE: JEFFRY PATRICK MAYS MD

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	207P00000X	Emergency Medicine Physician	J7815	TX
2	207R00000X	Internal Medicine Physician	J7815	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	881080	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1942288857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFRY PATRICK MAYS MD

Provider Business Mailing Address
First Line	:	PO BOX 590
Second Line	:
City	:	BRADY
State	:	TX
Zip	:	76825
Country	:	US
Telephone Number	:	325-792-1300
Fax Number	:	325-792-1155

Provider Business Practice Location Address
First Line	:	407 W WALLACE ST
Second Line	:
City	:	SAN SABA
State	:	TX
Zip	:	76877-4433
Country	:	US
Telephone Number	:	325-372-3178
Fax Number	:

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	08/11/2023

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