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FRANK CORRY PAYNE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7115 GREENVILLE AVENUE, SUITE 310, DALLAS, TX 75231
(214) 265-3200
(214) 265-3292
Mailing address
7115 GREENVILLE AVENUE, SUITE 310, DALLAS, TX 75231
(214) 265-3200
(214) 265-3292

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
F4359
TX
207X00000X
Orthopaedic Surgery Physician
Primary
F4359
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
F4359
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
035484702
TX
01
752130698
TAX ID
TX
01
8BZ907
BCBS
TX
Enumeration date
11/30/2005
Last updated
12/08/2010
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