Individual
GREGORY N PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
BJ5622
TX
207P00000X
Emergency Medicine Physician
Primary
J5622
TX
208D00000X
General Practice Physician
J5622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129205403
—
TX
05
—
129205411
—
TX
Enumeration date
10/24/2005
Last updated
03/29/2018
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