Payne, Richard Jackson
Payne, Richard Jackson is an individual health care provider with primary practice located at 2602 Saint Michael Dr Suite 301, Texarkana TX 75503-2387. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Payne, Richard Jackson can be contacted via phone (903) 614-5258.Contact Information
Primary practice address
2602 Saint Michael Dr Suite 301
Texarkana TX 75503-2387
Phone: (903) 614-5258
Fax: (903) 614-5260
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | K1617 | Texas |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | K1617 | Texas |
Profile Details
NPI number | 1245235092 |
---|---|
LBN Legal business name | Payne, Richard Jackson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2005 |
Last updated | Feb 24th, 2020 - about 4 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.
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