Individual
KARSON PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15384 LAKESIDE CT, TYLER, TX 75707-7449
(903) 714-4855
Mailing address
15384 LAKESIDE CT, TYLER, TX 75707-7449
(903) 714-4855
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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