Individual
DR. SHANNON ELIZABETH PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., LMT
Contact information
Practice address
6830 DAVY CROCKETT DR, MANVEL, TX 77578-3982
(832) 844-7192
Mailing address
6830 DAVY CROCKETT DR, MANVEL, TX 77578-3982
(832) 844-7192
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
11716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11716
CHIROPRACTIC LICENSE
TX
Enumeration date
07/08/2010
Last updated
02/20/2025
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