Provider Demographics
NPI:1346274396
Name:MAYS HOSPICE TX LLC
Entity Type:Organization
Organization Name:MAYS HOSPICE TX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-784-4211
Mailing Address - Street 1:3057 CLARKSVILLE ST.
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-7915
Mailing Address - Country:US
Mailing Address - Phone:903-784-4211
Mailing Address - Fax:903-739-2427
Practice Address - Street 1:3310 LAMAR AVE, SUITE B
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-5024
Practice Address - Country:US
Practice Address - Phone:903-785-4357
Practice Address - Fax:903-784-2487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK451510Medicare Oscar/Certification