Payne, Gerald Gene
Payne, Gerald Gene is an individual health care provider with primary practice located at 1600 W College St Ste 210, Grapevine TX 76051-3580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Payne, Gerald Gene can be contacted via phone (817) 481-0111.Contact Information
Primary practice address
1600 W College St Ste 210
Grapevine TX 76051-3580
Phone: (817) 481-0111
Fax: (817) 481-0112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | G3678 | Texas |
Profile Details
| NPI number | 1407821366 |
|---|---|
| LBN Legal business name | Payne, Gerald Gene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Feb 10th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407821366 | NPPES |
| Texas | MEDICAID | 135806115 | |
| Texas | Other | 74999 | |
| Texas | MEDICAID | 135806110 | |
| Texas | Other | 4292523 | |
| Texas | MEDICAID | 135806109 | |
| Texas | Other | 8H3361 |
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