Individual
CAROLYN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4458 MEDICAL DR STE 205, SAN ANTONIO, TX 78229-3748
(210) 614-1515
(210) 615-6904
Mailing address
16620 N US HIGHWAY 281 STE 300, SAN ANTONIO, TX 78232-2679
(210) 614-1231
(210) 616-0704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1018532
TX
363LG0600X
Gerontology Nurse Practitioner
1018532
TX
Other
Enumeration date
12/11/2020
Last updated
05/10/2022
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