Provider Demographics
NPI:1013701994
Name:PAYLOR, MAURICE BRANDON II
Entity type:Individual
Prefix:
First Name:MAURICE
Middle Name:BRANDON
Last Name:PAYLOR
Suffix:II
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3464 FELTON RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-4204
Mailing Address - Country:US
Mailing Address - Phone:901-438-9028
Mailing Address - Fax:
Practice Address - Street 1:3900 JUNIUS ST STE 740
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1627
Practice Address - Country:US
Practice Address - Phone:972-817-7420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical