Organization
TONY A. PAYSON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY A PAYSON M.D. (OWNER)
(254) 772-6770
Entity
Organization
Contact information
Practice address
213A OLD HEWITT RD, WACO, TX 76712-6647
(254) 772-6770
(254) 772-8471
Mailing address
PO BOX 21659, WACO, TX 76702-1659
(254) 772-6770
(254) 772-8471
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G5467
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161211101
—
TX
Enumeration date
11/05/2007
Last updated
12/07/2012
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