Individual
DR. JESUS MAYOR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 W GULF BANK RD, HOUSTON, TX 77037-2325
(281) 447-7614
(281) 447-6549
Mailing address
302 W GULF BANK RD, HOUSTON, TX 77037-2325
(281) 447-7614
(281) 447-6549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H3116
TX
208D00000X
General Practice Physician
Primary
H-3116
TX
Other
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
Enumeration date
01/18/2007
Last updated
03/25/2025
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