OrganizationComplex Care Medical Services CorporationPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(469) 488-7200(214) 456-7000PECOS EnrollmentBased on the most recent information from CMS, provider Complex Care Medical Services Corporation 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 2 days ago.Profile DetailsProvider ID1013256098Provider TypeOrganizationFull NameComplex Care Medical Services CorporationSubpartNoEnumeration Date2/11/2013Last Updated5/5/2023Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(469) 488-7200Fax(214) 456-1240Mailing LocationMailing Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-7000Fax(214) 456-1240Authorized OfficialNameMelton, Adam (Svp, Physician Organization)Phone(214) 456-0039Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID317409601DescriptionMedicaidIssuerUnlistedTexasID317409602DescriptionMedicaidIssuerUnlistedTexasID317409603DescriptionMedicaidIssuerUnlistedTexas