Provider Demographics
NPI:1841231909
Name:MORSE, MEVELYN MICHELLE (DPM)
Entity type:Individual
Prefix:DR
First Name:MEVELYN
Middle Name:MICHELLE
Last Name:MORSE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12881 N IH 35
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-2966
Mailing Address - Country:US
Mailing Address - Phone:210-742-6555
Mailing Address - Fax:
Practice Address - Street 1:12881 N IH 35
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-2966
Practice Address - Country:US
Practice Address - Phone:210-742-6555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000802213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT030000802.CT01OtherANTHEM BCBS PROVIDER ID #
CTP3647484OtherOXFORD HEALTHPLANS PROVID
CT3820734OtherAETNA PROVIDER ID #
CT2V7079OtherPHS PROVIDER ID #
CT5732109OtherCIGNA PROVIDER ID #
CTP00236321OtherRR MEDICARE PROVIDER ID #
CTP3647484OtherOXFORD HEALTHPLANS PROVID
CT5732109OtherCIGNA PROVIDER ID #
CT0719140001Medicare NSC