Provider Demographics
NPI:1609532944
Name:ATTARD, PAYTON ELIZABETH (PA)
Entity Type:Individual
Prefix:
First Name:PAYTON
Middle Name:ELIZABETH
Last Name:ATTARD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10219 LOST PATH LN
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-4107
Mailing Address - Country:US
Mailing Address - Phone:281-727-6954
Mailing Address - Fax:
Practice Address - Street 1:6410 FANNIN ST STE 350
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3004
Practice Address - Country:US
Practice Address - Phone:832-235-7133
Practice Address - Fax:713-383-1479
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA14948363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant