Provider Demographics
NPI:1740201672
Name:MAYS, DANNY M (PA-C)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:M
Last Name:MAYS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1650 HOSPITAL DR STE 800
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4789
Mailing Address - Country:US
Mailing Address - Phone:505-395-3000
Mailing Address - Fax:505-982-5003
Practice Address - Street 1:1650 HOSPITAL DR STE 800
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4789
Practice Address - Country:US
Practice Address - Phone:505-395-3000
Practice Address - Fax:505-982-5003
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPA2013-0006363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM26356546Medicaid