Provider Demographics
NPI:1043071772
Name:MAYS, DORIS PR (CNA-MED AIDE PHLEBOT)
Entity Type:Individual
Prefix:MS
First Name:DORIS
Middle Name:PR
Last Name:MAYS
Suffix:
Gender:F
Credentials:CNA-MED AIDE PHLEBOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3609 DUSTIN CT
Mailing Address - Street 2:APT A
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-3560
Mailing Address - Country:US
Mailing Address - Phone:254-833-1931
Mailing Address - Fax:
Practice Address - Street 1:3609 DUSTIN CT
Practice Address - Street 2:APT A
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-3560
Practice Address - Country:US
Practice Address - Phone:254-462-2658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0008169027376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty