Most Relevant Information
Provider Data
| NPI Number: | 1003551466 |
| Provider Name: | PAYTON HOLMES |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2022 |
| Last Updated: | 11/08/2023 |
Provider Practice Location
3535 VICTORY GROUP WAY STE 100
FRISCO
TX
750346720
Practice Location Phone/Fax
| Phone: | 9728278337 |
| Fax: |
Provider Mailing Location
8055 WINDROSE AVE APT 4136
PLANO
TX
750240300
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |