MEDICARE: MR. WAYNE ALTON PAYTON I LMT, MMP, RMP

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	172M00000X	Mechanotherapist	MT039221	TX

General Provider Information

NPI Number	:	1528390630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WAYNE ALTON PAYTON I LMT, MMP, RMP

Provider Business Mailing Address
First Line	:	8436 KINCAID LN
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-0976
Country	:	US
Telephone Number	:	214-718-4177
Fax Number	:	972-780-9992

Provider Business Practice Location Address
First Line	:	400 STONEBROOK PKWY UNIT 404
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-1181
Country	:	US
Telephone Number	:	214-718-4177
Fax Number	:	972-780-9992

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

Provider Enumeration Date	:	02/01/2010
Last Update Date	:	10/23/2024

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