Individual
DR. DYLAN J PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1106 COLLEGE ST STE A, BASTROP, TX 78602-3948
(512) 441-1240
Mailing address
805 DULWICH ST, AUSTIN, TX 78748-6515
(512) 589-8967
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
615934ZHUE
MEDICARE
TX
Enumeration date
10/05/2017
Last updated
11/29/2017
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