Organization
SONUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA PAYNE PA-C (PA-C)
(817) 966-3089
Entity
Organization
Contact information
Practice address
3240 LIPSCOMB ST, FORT WORTH, TX 76110-4039
(817) 966-3089
Mailing address
3240 LIPSCOMB ST, FORT WORTH, TX 76110-4039
(817) 966-3089
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/20/2025
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