Healthcare Provider Details

I. General information

NPI: 1497932024
Provider Name (Legal Business Name): STEPHANIE ARNETIA PAYTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2008
Last Update Date: 10/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 WINDCOM CT STE 200
PLANO TX
75093-7817
US

IV. Provider business mailing address

6101 WINDCOM CT STE 200
PLANO TX
75093-7817
US

V. Phone/Fax

Practice location:
  • Phone: 214-705-1155
  • Fax:
Mailing address:
  • Phone: 214-705-1155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberN7476
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number50392
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: