Provider Demographics
NPI:1609009885
Name:PAYAN, JOSE ALFREDO (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ALFREDO
Last Name:PAYAN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:9740 BARKER CYPRESS RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1973
Mailing Address - Country:US
Mailing Address - Phone:281-550-7900
Mailing Address - Fax:281-550-7909
Practice Address - Street 1:9740 BARKER CYPRESS RD
Practice Address - Street 2:SUITE 112
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1973
Practice Address - Country:US
Practice Address - Phone:281-550-7900
Practice Address - Fax:281-550-7909
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2021-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX7486T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX508132ZM0JMedicare PIN