Provider Demographics
NPI:1942309620
Name:MAY, NORMAN CHALMERS (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:CHALMERS
Last Name:MAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3485 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3807
Mailing Address - Country:US
Mailing Address - Phone:409-835-4790
Mailing Address - Fax:409-835-2496
Practice Address - Street 1:3485 FANNIN ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3807
Practice Address - Country:US
Practice Address - Phone:409-835-4790
Practice Address - Fax:409-835-2496
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3153207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099288501Medicaid
TX00L35XOtherBCBS
F74612Medicare UPIN
TX00L35XOtherBCBS