Provider Demographics
NPI:1023182581
Name:MAYS & SCHNAPP PAIN CLINIC & REHABILITATION CENTER
Entity Type:Organization
Organization Name:MAYS & SCHNAPP PAIN CLINIC & REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIT
Authorized Official - Middle Name:SANFORD
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-979-8003
Mailing Address - Street 1:PO BOX 1000 DEPT 106
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0106
Mailing Address - Country:US
Mailing Address - Phone:901-979-8003
Mailing Address - Fax:901-979-8406
Practice Address - Street 1:55 HUMPHREYS CENTER DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2366
Practice Address - Country:US
Practice Address - Phone:901-747-0040
Practice Address - Fax:901-747-4340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000064261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
490002313OtherRAILROAD MEDICARE
TN3287561Medicaid
TN3010515OtherBLUE CROSS TN