Provider Demographics
NPI:1407865009
Name:PATTON, EVE LYNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:EVE
Middle Name:LYNETTE
Last Name:PATTON
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 1:8901 FM 1960 BYPASS RD W
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:281-548-3627
Mailing Address - Fax:281-540-9809
Practice Address - Street 1:8901 FM 1960 BYPASS W.
Practice Address - Street 2:SUITE 201
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4025
Practice Address - Country:US
Practice Address - Phone:281-548-3627
Practice Address - Fax:281-548-3660
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0182207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105110401Medicaid
TX760559650OtherTAX IDENTIFICATION NUMBER
TXJ0182OtherMEDICAL LICENSE NUMBER
TX89010GOtherBCBS PROVIDER NUMBER
TXJ0182OtherMEDICAL LICENSE NUMBER
TX86840JMedicare ID - Type Unspecified