Mayans, Jose A

Mayans, Jose A is an sole proprietor health care provider with primary practice located at 907 W 2Nd St , Odessa TX 79763-4305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mayans, Jose A can be contacted via phone (432) 333-1324.

Contact Information

Primary practice address
907 W 2Nd St Odessa TX 79763-4305
Fax: (432) 337-7628
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F6029 Texas

Profile Details

NPI number 1124177654
LBN Legal business name Mayans, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Nov 15th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124177654 NPPES
Texas MEDICAID 0808248-01

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