Look up the most recent NPI and PECOS records

Charles Harlow Hallman

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

1101 Bates Ave Ste P514, Houston, TX 77030-2607

PECOS Enrollment

This provider is enrolled in PECOS as CHARLES HALLMAN.

Based on the most recent information from CMS, provider Charles Harlow Hallman is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1154418671
Provider Type
Individual
Full Name
Hallman, Charles Harlow
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/6/2006
Last Updated
10/23/2012

Contact Information

Practice Location

1101 Bates Ave Ste P514, Houston, TX 77030-2607

(832) 355-4332

(832) 355-3770

Mailing Location

1101 Bates Ave Ste P514, Houston, TX 77030-2607

(832) 355-4332

(832) 355-3770

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License H0420 Texas
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License H0420 Texas

Provider Identifiers

ID	Description	Issuer
ID 330002333	Description Other	Issuer RAILROAD MEDICARE Texas

Charles Harlow Hallman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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