Provider Demographics
NPI:1912298985
Name:MAYES, JOHNNY LEE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHNNY
Middle Name:LEE
Last Name:MAYES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:7922 EWING HALSELL DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3786
Mailing Address - Country:US
Mailing Address - Phone:210-614-7993
Mailing Address - Fax:210-692-0432
Practice Address - Street 1:7922 EWING HALSELL DR
Practice Address - Street 2:SUITE 170
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3786
Practice Address - Country:US
Practice Address - Phone:210-614-7993
Practice Address - Fax:210-692-0432
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2014-08-26
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Provider Licenses
StateLicense IDTaxonomies
TXQ0790207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology