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Organization
PAYNE CHIROPRACTIC, PA
Active
Organization
PAYNE CHIROPRACTIC, PA
Active
Other names
Innovate Health
Organization subpart
No
Provider details
NPI number
Authorized official
GEN EISAN (DELEGATED OFFICIAL/BILLING MANAGER)
(817) 329-3552
Entity
Organization
Contact information
Practice address
4821 MERLOT AVE UNIT 240, GRAPEVINE, TX 76051-7386
(817) 329-3552
(817) 329-3555
Mailing address
4821 MERLOT AVE UNIT 240, GRAPEVINE, TX 76051-7386
(817) 329-3552
(817) 329-3555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9817
TX
Other
Enumeration date
01/04/2008
Last updated
09/26/2019
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