Provider Demographics
NPI:1700810363
Name:PAYNE, WARWICK LEYTON (DC)
Entity Type:Individual
Prefix:DR
First Name:WARWICK
Middle Name:LEYTON
Last Name:PAYNE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4212 SAN FELIPE ST
Mailing Address - Street 2:# 174
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-2902
Mailing Address - Country:US
Mailing Address - Phone:713-780-3520
Mailing Address - Fax:713-780-7064
Practice Address - Street 1:6666 HARWIN DR
Practice Address - Street 2:STE 430
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2292
Practice Address - Country:US
Practice Address - Phone:713-780-3520
Practice Address - Fax:713-780-7064
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7042111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor