Provider Demographics
NPI:1528396736
Name:MAYS, KARISSA DEYUANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARISSA
Middle Name:DEYUANA
Last Name:MAYS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6802 S FRY RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8294
Mailing Address - Country:US
Mailing Address - Phone:281-392-0077
Mailing Address - Fax:281-392-0110
Practice Address - Street 1:6802 S FRY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8294
Practice Address - Country:US
Practice Address - Phone:281-392-0077
Practice Address - Fax:281-392-0110
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-28
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45837183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist