Provider Demographics
NPI:1942288857
Name:MAYS, JEFFRY PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:JEFFRY
Middle Name:PATRICK
Last Name:MAYS
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:PO BOX 590
Mailing Address - Street 2:
Mailing Address - City:BRADY
Mailing Address - State:TX
Mailing Address - Zip Code:76825
Mailing Address - Country:US
Mailing Address - Phone:325-792-1300
Mailing Address - Fax:325-792-1155
Practice Address - Street 1:407 W WALLACE ST
Practice Address - Street 2:
Practice Address - City:SAN SABA
Practice Address - State:TX
Practice Address - Zip Code:76877-4433
Practice Address - Country:US
Practice Address - Phone:325-372-3178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7815207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118399802Medicaid
881080OtherBLUE CROSS
TX118399802Medicaid
881080OtherBLUE CROSS