Most Relevant Information
Provider Data
| NPI Number: | 1003052481 |
| Provider Name: | JONATHAN RAY MAYES MAT, ATC, LAT |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT3615 |
Most Important Dates
| Enumeration Date: | 01/06/2009 |
| Last Updated: | 06/14/2016 |
Provider Practice Location
6517 CANYON MIST LN
DICKINSON
TX
775394882
Practice Location Phone/Fax
| Phone: | 7132051086 |
| Fax: |
Provider Mailing Location
7200 CAMBRIDGE ST STE 10A
HOUSTON
TX
770304202
Provider Mailing Phone/Fax
| Phone: | 7139866042 |
| Fax: | 2815344293 |