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Contact Information

GARY C PAYNE, DPM
12833B RESEARCH BLVD.
AUSTIN, TX78750
 Phone: 512-249-2253
 Fax: 512-258-2109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GARY C PAYNE · (Male)

NPI Number 1780691949
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/01/2006
Last updated 06/16/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 0536
  • TX Medicaid 018830201
  • Other 741891053 AETNA
  • Other DPM536 AIG
  • Other 11011766 AMERIGROUP
  • Other 00T800 BCBS
  • Other DPM536 CMI WALMART
  • Other T15205 COMMERCIAL CARRIERS
  • Other 4464150001 PALMETTO GBA
  • Other 480900054 UNITED HEALTH CARE RAIL R
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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