Provider Demographics
NPI:1932290582
Name:MAYS, JANIS (CRNA)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:
Last Name:MAYS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 E MAXAN ST # 18
Mailing Address - Street 2:
Mailing Address - City:PORT ISABEL
Mailing Address - State:TX
Mailing Address - Zip Code:78578-4507
Mailing Address - Country:US
Mailing Address - Phone:972-841-7828
Mailing Address - Fax:
Practice Address - Street 1:167 QUEENS POINT
Practice Address - Street 2:167 QUEENS POINT
Practice Address - City:PORT ISABEL
Practice Address - State:TX
Practice Address - Zip Code:78578
Practice Address - Country:US
Practice Address - Phone:972-841-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240723367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88806UOtherBCBS
TX88042HMedicare ID - Type Unspecified