Individual
RICHARD JACKSON PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2602 SAINT MICHAEL DR, SUITE 301, TEXARKANA, TX 75503-2387
(903) 614-5258
(903) 614-5260
Mailing address
2602 SAINT MICHAEL DR, SUITE 301, TEXARKANA, TX 75503-2387
(903) 614-5258
(903) 614-5260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K1617
TX
207L00000X
Anesthesiology Physician
Primary
K1617
TX
Other
Enumeration date
06/17/2005
Last updated
02/24/2020
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