Individual ProviderKamron PayneRegistered NurseNursing Service ProvidersPractice Address5757 Preston View Blvd Apt 175, Dallas, TX 75240-4663(662) 251-7104PECOS EnrollmentBased on the most recent information from CMS, provider Kamron Payne does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1578175204Provider TypeIndividualFull NamePayne, KamronTitleMr.CredentialRNGenderMaleSole ProprietorNoEnumeration Date8/24/2020Last Updated8/24/2020Contact InformationPractice LocationPractice Address5757 Preston View Blvd Apt 175, Dallas, TX 75240-4663Phone(662) 251-7104FaxUnlisted FaxMailing LocationMailing Address5757 Preston View Blvd Apt 175, Dallas, TX 75240-4663Phone(662) 251-7104FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense1002916Texas