MALLORY NICOLE PAYNE

GARLAND, TX
NPI1962170852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1048565)
Enumeration Date2021-09-03
Last Update Date2023-09-22
Business Address
MALLORY NICOLE PAYNE
675 TOWN SQUARE BLVD STE 200
GARLAND, TX 75040-2991
Phone number: 574-546-1900
Mailing Address
MALLORY NICOLE PAYNE
PO BOX 11114
FORT WAYNE, IN 46855-1114
Phone number: 574-546-1900