Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | G5559 | TX |
Y | 208600000X | Surgeon | G5559 | TX |
NPI | 1013932466 |
---|---|
Provider Name | Dr. Watson Payne Roye JR. |
First Address | Waxahachie, TX 75165-2269 |
Second Address | Waxahachie, TX 75165-2269 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 30/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
031594702 | (05) | TX |
031594704 | (05) | TX |
031594705 | (05) | TX |
8BU525 | BCBSTX (01) | TX |
C21378 | (02) |