Jose Mayen MD PA

NPI #1760872675 in Webster, Texas

Provider Information

NPI Number: 1760872675
Entity Type: Organization
Organization Name: Jose Mayen MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Jan 29, 2015
Last Updated: Jan 29, 2015

Practice Location

Address: 561 W MEDICAL CENTER BLVD
Address 2: SUITE C
City: Webster
State: Texas
ZIP Code: 77598-4239
Phone: (281) 332-1075

Authorized Official

Name: JOSE I MAYEN NUNEZ, M. D.
Title: PRESIDENT
Phone: (281) 332-1075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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