Healthcare Provider Details
I. General information
NPI: 1194407742
Provider Name (Legal Business Name): EVAN MAY MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2023
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5021 CROSSROADS DR
EL PASO TX
79932-1635
US
IV. Provider business mailing address
550 S MESA HILLS DR STE C2
EL PASO TX
79912-5765
US
V. Phone/Fax
- Phone: 915-975-7950
- Fax: 915-975-0002
- Phone: 915-276-0931
- Fax: 915-845-5706
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EVAN
ELIZABETH
MAY
Title or Position: OWNER
Credential: MD
Phone: 915-276-0931