Individual
PAYTON LEE BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RVT, RDCS, RT (R)
Contact information
Practice address
820 N ELKHART AVE, A, LUBBOCK, TX 79416-1195
(806) 773-1877
Mailing address
502 11TH STREET, PLAINS, TX 79355
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
156934
TX
2471C3402X
Radiography Radiologic Technologist
458160
TX
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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