Individual
DR. ATHENA MARIE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4255 BRYANT IRVIN RD, SUITE 108, FORT WORTH, TX 76109-4233
(817) 731-4848
(817) 731-4858
Mailing address
4255 BRYANT IRVIN RD, SUITE 108, FORT WORTH, TX 76109-4233
(817) 731-4848
(817) 731-4858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437483831
MEDICARE GROUP NPI SALANCE CLINIC INC.
TX
01
—
TXB127631
MEDICARE PTAN GROUP
TX
Enumeration date
03/20/2010
Last updated
04/15/2016
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