| Tony A. Payson, M.d., P.a. | |
|
213a Old Hewitt Rd Waco TX 76712-6647 | |
| (254) 772-6770 | |
| (254) 772-8471 |
| Full Name | Tony A. Payson, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 213a Old Hewitt Rd, Waco, Texas |
| Authorized Official Name and Position | Tony A Payson (OWNER) |
| Authorized Official Contact | 2547726770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony A. Payson, M.d., P.a. Po Box 21659 Waco TX 76702-1659 Ph: (254) 772-6770 | Tony A. Payson, M.d., P.a. 213a Old Hewitt Rd Waco TX 76712-6647 Ph: (254) 772-6770 |
| NPI Number | 1548440845 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 12/07/2012 |
| Medicare PECOS PAC ID | 8123288875 |
|---|---|
| Medicare Enrollment ID | O20120404000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548440845 | NPI | - | NPPES |
| 161211101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G5467 (Texas) | Primary |
| Provider Name | Tony A Payson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366422123 PECOS PAC ID: 6204096951 Enrollment ID: I20120404000612 |
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