GREGORY N PAYNE, MD, PA
Marriage and Family Therapists at Prairie Ln, Longview, TX

License number
Texas TX J5622
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. GREGEORY N PAYNE M.D.
Title: PRESIDENT/PHYSICIAN
Phone: (903) 235-5951
Address
Address
107 Prairie Ln, Longview, TX 75605
National Provider ID: 1649416108
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREGORY N. PAYNE, M.D., PA

Longview, TX

Industry:
Medical Doctor's Office
Registration:
Jan 14, 2003
Addresses:
105 Hunters Crk Dr, Longview, TX 75605 (Mailing)
107 Pr Ln, Longview, TX 75605
State ID:
0800162899
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member:
Gregory N. Payne (President , Treasurer , Secretary , Director , Member)
TIN:
32035814865

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