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Individual

WILLIAM DAVID PAYNE JR.

Active
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Individual

WILLIAM DAVID PAYNE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
22988
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N2721
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216980702
—
TX
05
—
216980703
—
TX
01
—
8DT795
BLUE CROSS BLUE SHIELD
TX
01
—
8DT796
BLUE CROSS BLUE SHIELD
TX
01
—
P01217751
RAILROAD MEDICARE
—
01
—
P01217758
RAILROAD MEDICARE
—
Enumeration date
06/14/2010
Last updated
01/06/2021
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