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Individual

DR. MICHAEL COLIN PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 545-7333
Mailing address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 545-7333

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P6498
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10037713
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
320604701
TX
01
P01211218
MEDICARE RAILROAD
TX
Enumeration date
06/11/2010
Last updated
11/25/2013
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