Organization
J A MAYANS MD PA
Active
Other names
Southwest Retina Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A MAYANS MD (OWNER CEO)
(432) 333-1324
Entity
Organization
Contact information
Practice address
907 W SECOND ST, ODESSA, TX 79763
(432) 333-1324
(432) 337-7628
Mailing address
907 W 2ND ST, ODESSA, TX 79763
(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
—
080824801
—
TX
Enumeration date
12/17/2007
Last updated
01/03/2008
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