Provider Demographics
NPI:1073752283
Name:MAY, THADDAEUS DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:THADDAEUS
Middle Name:DAVID
Last Name:MAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 BANKS STREET
Mailing Address - Street 2:#3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-5431
Mailing Address - Country:US
Mailing Address - Phone:913-961-5852
Mailing Address - Fax:
Practice Address - Street 1:1 BAYLOR PLAZA
Practice Address - Street 2:BAYLOR COLLEGE OF MEDICINE INTERNAL MEDICINE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-4951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10029227207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics