| Innovate Health | |
|
4821 Merlot Ave Unit 240, Grapevine, TX 76051-7386 | |
| (817) 329-3552 | |
| (817) 329-3555 |
| Full Name | Innovate Health |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4821 Merlot Ave Unit 240, Grapevine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598940967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 9817 (Texas) | Primary |
| Provider Name | Richard B. Payne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982799201 PECOS PAC ID: 3577647320 Enrollment ID: I20080303000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovate Health 4821 Merlot Ave Unit 240, Grapevine, TX 76051-7386 Ph: (817) 329-3552 | Innovate Health 4821 Merlot Ave Unit 240, Grapevine, TX 76051-7386 Ph: (817) 329-3552 |
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