Individual
X'ZAVIER O PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 N STATE HIGHWAY 360 APT 2214, MANSFIELD, TX 76063-8716
(682) 772-7625
Mailing address
420 N STATE HIGHWAY 360 APT 2214, MANSFIELD, TX 76063-8716
(682) 772-7625
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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