Provider Demographics
NPI:1992015697
Name:MAYS, CLINTON (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CLINTON
Middle Name:
Last Name:MAYS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 HUNTER RD, SUITE 1104
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666
Mailing Address - Country:US
Mailing Address - Phone:512-396-5122
Mailing Address - Fax:512-396-5123
Practice Address - Street 1:2550 HUNTER RD, SUITE 1104
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666
Practice Address - Country:US
Practice Address - Phone:512-396-5122
Practice Address - Fax:512-396-5123
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12382682251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400043639Medicare PIN