Individual
DAVIS HARRISON PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(903) 490-4439
Mailing address
6204 BROOKHOLLOW DR, TEXARKANA, TX 75503-1496
(903) 490-4439
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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