Provider Demographics
NPI:1033328315
Name:NORMAN C MAY MD
Entity Type:Organization
Organization Name:NORMAN C MAY MD
Other - Org Name:NORMAN C MAY MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:CHALMERS
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-835-4790
Mailing Address - Street 1:3485 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3807
Mailing Address - Country:US
Mailing Address - Phone:409-835-4790
Mailing Address - Fax:409-835-2496
Practice Address - Street 1:3485 FANNIN ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3807
Practice Address - Country:US
Practice Address - Phone:409-835-4790
Practice Address - Fax:409-835-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3153207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099288501Medicaid
TX099288501Medicaid
TX00L35XMedicare ID - Type Unspecified