Individual
AMBER L PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
5701 BRYANT IRVIN RD STE 201, FORT WORTH, TX 76132-4026
(817) 263-2500
Mailing address
5701 BRYANT IRVIN RD STE 201, FORT WORTH, TX 76132-4026
(817) 263-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD252
HI
363A00000X
Physician Assistant
Primary
PA07437
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
445343
UHA
HI
01
—
A259554
HMSA, 65CP, HMSA QUEST
HI
Enumeration date
07/28/2006
Last updated
02/28/2022
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