Individual
ANGELINA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 MEDICAL CENTER DR STE C, DECATUR, TX 76234-3844
(940) 626-2110
Mailing address
3240 LIPSCOMB ST, FORT WORTH, TX 76110-4039
(817) 966-3089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11606
TX
363AS0400X
Surgical Physician Assistant
PA11606
TX
Other
Enumeration date
11/07/2017
Last updated
02/20/2025
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