Mayes Enterprises Pllc | |
10050 Banburry Cross Dr Ste 130 Las Vegas NV 89144-7061 | |
(702) 360-4836 | |
(702) 548-7676 |
Full Name | Mayes Enterprises Pllc |
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Speciality | Psychiatry & Neurology |
Location | 10050 Banburry Cross Dr Ste 130, Las Vegas, Nevada |
Authorized Official Name and Position | Donald Hugh Mayes (OWNER) |
Authorized Official Contact | 7028828415 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mayes Enterprises Pllc 1124 Olvera Way Las Vegas NV 89128-0556 Ph: (702) 882-8415 | Mayes Enterprises Pllc 10050 Banburry Cross Dr Ste 130 Las Vegas NV 89144-7061 Ph: (702) 360-4836 |
NPI Number | 1346471869 |
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Provider Enumeration Date | 07/31/2009 |
Last Update Date | 07/31/2009 |
Medicare PECOS PAC ID | 1456407246 |
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Medicare Enrollment ID | O20090921000073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346471869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 12823 (Nevada) | Primary |
Provider Name | Donald H Mayes |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750509329 PECOS PAC ID: 9638225428 Enrollment ID: I20090921000071 |
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