Provider Demographics
NPI:1124017587
Name:PAYSSE, EVELYN A (MD)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:A
Last Name:PAYSSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 FANNIN ST # MC610.25
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2608
Mailing Address - Country:US
Mailing Address - Phone:832-822-3237
Mailing Address - Fax:713-796-8110
Practice Address - Street 1:6621 FANNIN ST
Practice Address - Street 2:MCCC 640.00
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2303
Practice Address - Country:US
Practice Address - Phone:832-822-3230
Practice Address - Fax:832-825-4776
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1618207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3291344OtherBLUE LINK
TX125223104Medicaid
TX125223101Medicaid
TX125223102Medicaid
TX82W938OtherBC/BS
TX3291344OtherBLUE LINK
TXTXB116504Medicare PIN
TX125223104Medicaid
TX8L0848Medicare PIN
TX125223102Medicaid
TX82W938Medicare PIN