Individual
DR. DOUGLAS PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 S MESA HILLS DR STE C2, EL PASO, TX 79912-5765
(915) 532-6069
(915) 532-5060
Mailing address
550 S MESA HILLS DR STE C2, EL PASO, TX 79912-5765
(915) 532-6069
(915) 532-5060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A79522
CA
208M00000X
Hospitalist Physician
A79522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A79522
MEDICAL LICENSE
CA
01
—
N1054
TEXAS MEDICAL BOARD
TX
01
—
TXB104323
PTAN
TX
Enumeration date
12/14/2005
Last updated
04/08/2024
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