Individual ProviderCharles Harlow HallmanThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address1101 Bates Ave Ste P514, Houston, TX 77030-2607(832) 355-4332PECOS EnrollmentBased on the most recent information from CMS, provider Charles Harlow Hallman 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 4 days ago.Profile DetailsProvider ID1154418671Provider TypeIndividualFull NameHallman, Charles HarlowTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date10/6/2006Last Updated10/23/2012Contact InformationPractice LocationPractice Address1101 Bates Ave Ste P514, Houston, TX 77030-2607Phone(832) 355-4332Fax(832) 355-3770Mailing LocationMailing Address1101 Bates Ave Ste P514, Houston, TX 77030-2607Phone(832) 355-4332Fax(832) 355-3770Provider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicenseH0420TexasCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseH0420TexasProvider IdentifiersIDDescriptionIssuerID330002333DescriptionOtherIssuerRAILROAD MEDICARETexas