MEDICARE: DR. FRANK CORRY PAYNE II M.D.

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	174400000X	Specialist	C4493	TX
2	2080H0002X	Pediatric Hospice and Palliative Medicine Physician	C4493	TX
3	2083P0901X	Public Health & General Preventive Medicine Physician	C4493	TX

General Provider Information

NPI Number	:	1598981128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK CORRY PAYNE II M.D.

Provider Business Mailing Address
First Line	:	10350 CARRY BACK CIR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-5814
Country	:	US
Telephone Number	:	214-352-3770
Fax Number	:

Provider Business Practice Location Address
First Line	:	8440 WALNUT HILL LN
Second Line	:	540
City	:	DALLAS
State	:	TX
Zip	:	75231-3833
Country	:	US
Telephone Number	:	214-345-4204
Fax Number	:	214-345-2836

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	09/11/2025

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