Individual provider · NPI-1
Trudy D Payton
Private Vehicle · Allen, TX
NPI number1730820903
StatusActive
Last updated in NPPESApr 4, 2022
Details
- NPI
- 1730820903
- Entity type
- Individual (NPI-1)
- Name
- Trudy D Payton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2022
- Certification date
- Feb 23, 2022
- Last updated
- Apr 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | NGJ9301 | TX | Yes |
Practice location
1300 N Custer Rd Apt 8107Allen, TX 75013-3526
Phone 469-888-9013
Mailing address
1300 N Custer Rd Apt 8107Allen, TX 75013-3526
Phone 469-888-9013
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