MEDICARE: JOSHUA PAYNE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	W1872	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1083469993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA PAYNE DO

Provider Business Mailing Address
First Line	:	1400 S COULTER ST STE 5100
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-1786
Country	:	US
Telephone Number	:	806-414-9559
Fax Number	:	806-351-3765

Provider Business Practice Location Address
First Line	:	1400 S COULTER ST STE 5100
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-1786
Country	:	US
Telephone Number	:	806-414-9559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2024
Last Update Date	:	05/13/2026

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Directions to “ JOSHUA PAYNE DO” Practice Location

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