Provider Demographics
NPI:1740499953
Name:MAY, ELISE MARIE (MD)
Entity type:Individual
Prefix:MRS
First Name:ELISE
Middle Name:MARIE
Last Name:MAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ELISE
Other - Middle Name:MARIE
Other - Last Name:ROE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1301 S COULTER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1765
Mailing Address - Country:US
Mailing Address - Phone:806-350-7929
Mailing Address - Fax:806-350-7930
Practice Address - Street 1:1301 S COULTER ST
Practice Address - Street 2:STE 201
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1765
Practice Address - Country:US
Practice Address - Phone:806-350-7929
Practice Address - Fax:806-350-7930
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8844208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery