Provider Demographics
NPI:1194955070
Name:PAYNTER, SILVIA (MT)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:PAYNTER
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13500 MIDWAY RD STE 350
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-5173
Mailing Address - Country:US
Mailing Address - Phone:214-680-1150
Mailing Address - Fax:972-980-0328
Practice Address - Street 1:13500 MIDWAY RD STE 350
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-5173
Practice Address - Country:US
Practice Address - Phone:214-680-1150
Practice Address - Fax:972-980-0328
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-25
Last Update Date:2009-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT029545225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist