Provider Demographics
NPI:1740368265
Name:PYNE, DEBORAH ELAINE (DO)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ELAINE
Last Name:PYNE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3242 PRESTON RD STE 203
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3328
Mailing Address - Country:US
Mailing Address - Phone:972-733-1955
Mailing Address - Fax:972-733-1990
Practice Address - Street 1:2305 COIT RD
Practice Address - Street 2:STE C
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3792
Practice Address - Country:US
Practice Address - Phone:972-733-1955
Practice Address - Fax:972-733-1990
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2024-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH5038207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE76938Medicare UPIN
TX00A23ZMedicare PIN