Individual
JOSE A MAYANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 W 2ND ST, ODESSA, TX 79763-4305
(432) 333-1324
(432) 337-7628
Mailing address
907 WEST 2ND STREET, ODESSA, TX 79763-4305
(432) 333-1324
(432) 337-7628
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F6029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0808248-01
—
TX
Enumeration date
01/10/2007
Last updated
11/15/2007
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