| Payne & Boatner Dds Pc | |
|
1760 Rufe Snow Dr Keller TX 76248-5628 | |
| (817) 498-3889 | |
| (817) 281-2810 |
| Full Name | Payne & Boatner Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1760 Rufe Snow Dr, Keller, Texas |
| Authorized Official Name and Position | Glenn M Payne (PRESIDENT) |
| Authorized Official Contact | 8174983889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Payne & Boatner Dds Pc 1760 Rufe Snow Dr Keller TX 76248-5628 Ph: () - | Payne & Boatner Dds Pc 1760 Rufe Snow Dr Keller TX 76248-5628 Ph: (817) 498-3889 |
| NPI Number | 1851655146 |
|---|---|
| Provider Enumeration Date | 07/02/2012 |
| Last Update Date | 07/06/2022 |
| Medicare PECOS PAC ID | 8224412457 |
|---|---|
| Medicare Enrollment ID | O20220907001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851655146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20864 (Texas) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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