MEDICARE: EOM CORPORATION

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	106H00000X	Marriage & Family Therapist	193	TX

General Provider Information

NPI Number	:	1881817658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EOM CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 51638
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79710-1638
Country	:	US
Telephone Number	:	432-520-0737
Fax Number	:	432-685-0737

Provider Business Practice Location Address
First Line	:	4410 N MIDKIFF RD
Second Line	:	SUITE D-211B
City	:	MIDLAND
State	:	TX
Zip	:	79705-4246
Country	:	US
Telephone Number	:	432-520-0737
Fax Number	:	432-699-2392

Authorized Official
Title or Position	:	LMFT, LCDC
Name	:	DR. JAMES L. MAY
Credential	:	PH.D.
Telephone Number	:	432-520-0737

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/22/2020

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Directions to “EOM CORPORATION ” Practice Location

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