# DR. JESUS MAYOR JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1689727257
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H3116 | TX | — |
| 208D00000X | General Practice Physician | H-3116 | TX | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 03/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1024606 | AETNA | TX |
| 05 | — | 126942501 | — | TX |
| 01 | — | 126942504 | THSTEP | TX |
| 01 | — | 26285 | AMERIGROUP | TX |
| 01 | — | 760528198 | TAX ID | TX |
| 01 | — | 8Z1587 | BC BS PPO | TX |
| 01 | — | E0066996 | DPS | TX |