Healthcare Provider Details

I. General information

NPI: 1942288857
Provider Name (Legal Business Name): JEFFRY PATRICK MAYS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 W WALLACE ST
SAN SABA TX
76877-4433
US

IV. Provider business mailing address

PO BOX 590
BRADY TX
76825
US

V. Phone/Fax

Practice location:
  • Phone: 325-372-3178
  • Fax:
Mailing address:
  • Phone: 325-792-1300
  • Fax: 325-792-1155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberJ7815
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberJ7815
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: