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Individual

JOSE LUIS MAYMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
844 CENTRAL BLVD, SUITE 430, BROWNSVILLE, TX 78520-7552
(956) 554-4857
(956) 546-1936
Mailing address
1719 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8912
(956) 554-4857
(956) 546-1936

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
35617
IA
208800000X
Urology Physician
Primary
M4331
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0438323
IA
05
183260203
TX
05
183260204
TX
01
35556
WELLMARK BCBS
IA
01
M4331
MEDICAL LICENSE
TX
Enumeration date
08/12/2005
Last updated
08/03/2015
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