Individual ProviderRick PengThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address1515 Holcombe Blvd, Houston, TX 77030-4000(713) 792-6161(713) 792-2991PECOS EnrollmentBased on the most recent information from CMS, provider Rick Peng is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1154304103Provider TypeIndividualFull NamePeng, RickTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date11/23/2005Last Updated12/22/2021Contact InformationPractice LocationPractice Address1515 Holcombe Blvd, Houston, TX 77030-4000Phone(713) 792-6161FaxUnlisted FaxMailing LocationMailing AddressPO Box 4439, Houston, TX 77210-4439Phone(713) 792-2991FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicenseA61449CaliforniaProvider IdentifiersIDDescriptionIssuerID08505DescriptionOtherIssuerPICalifornia