Provider Demographics
NPI:1467232579
Name:AMAYSZN LLC
Entity Type:Organization
Organization Name:AMAYSZN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-794-6123
Mailing Address - Street 1:620 W SOUTH ST STE A
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-4235
Mailing Address - Country:US
Mailing Address - Phone:501-794-6123
Mailing Address - Fax:501-794-6148
Practice Address - Street 1:620 W SOUTH ST STE A
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-4235
Practice Address - Country:US
Practice Address - Phone:501-794-6123
Practice Address - Fax:501-794-6148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center