Provider Demographics
NPI:1417993551
Name:PAYNE, ROSE Z (MD)
Entity type:Individual
Prefix:DR
First Name:ROSE
Middle Name:Z
Last Name:PAYNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 40159
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-871-4409
Mailing Address - Fax:210-524-9599
Practice Address - Street 1:7700 FLOYD CURL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3902
Practice Address - Country:US
Practice Address - Phone:210-871-4409
Practice Address - Fax:210-524-9599
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0913208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
A63247Medicare UPIN