Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | R2409 | TX |
Y | 2081S0010X | Sports Medicine | R2409 | TX |
Y | 213ES0000X | Sports Medicine | R2409 | TX |
NPI | 1093071482 |
---|---|
Provider Name | Benjamin Joseph May |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-3869 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2012 |
Last Update Date | 28/01/2022 |