Healthcare Provider Details

I. General information

NPI: 1750576393
Provider Name (Legal Business Name): MAYS MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 09/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 SALMON LAKE DR
MELISSA TX
75454-2143
US

IV. Provider business mailing address

PO BOX 561
MELISSA TX
75454-0561
US

V. Phone/Fax

Practice location:
  • Phone: 972-837-2588
  • Fax: 972-636-8953
Mailing address:
  • Phone: 972-837-2588
  • Fax: 972-636-8953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN L MAYS JR.
Title or Position: OWNER
Credential:
Phone: 972-837-2588