Provider Demographics
NPI:1750457479
Name:MAY, RICHARD THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:THOMAS
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 1:9323 GARLAND RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3679
Mailing Address - Country:US
Mailing Address - Phone:214-321-2488
Mailing Address - Fax:214-320-2022
Practice Address - Street 1:9323 GARLAND RD
Practice Address - Street 2:SUITE 204
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3679
Practice Address - Country:US
Practice Address - Phone:214-321-2488
Practice Address - Fax:214-320-2022
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6499207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10003660Medicaid
C18984Medicare UPIN
00SC76Medicare ID - Type Unspecified