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NPI Code Detail

MEDICARE: NICOLE MAYS

MEDICARE: NICOLE MAYS
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number : 1215370747
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MAYS
Provider Business Mailing Address
First Line : 18318 ENCHANTED ROCK TRL
Second Line :
City : HUMBLE
State : TX
Zip : 77346-3409
Country : US
Telephone Number : 713-594-0469
Fax Number : 713-594-0469
Provider Business Practice Location Address
First Line : 340 N SAM HOUSTON PKWY E STE 247
Second Line :
City : HOUSTON
State : TX
Zip : 77060-3325
Country : US
Telephone Number : 713-594-0469
Fax Number : 713-583-0900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2013
Last Update Date : 01/06/2021

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Directions to “ NICOLE MAYS ” Practice Location

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