Individual
RUSSELL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5012 S US HIGHWAY 75 STE 300, DENISON, TX 75020-4589
(903) 416-6065
(903) 416-6068
Mailing address
5012 S US HIGHWAY 75 STE 300, DENISON, TX 75020-4589
(903) 416-6065
(903) 416-6068
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
S2458
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
09/10/2024
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