Individual ProviderThwe T HtayInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4801 Alberta Ave, El Paso, TX 79905-2707(915) 215-5200(915) 215-4480PECOS EnrollmentThis provider is enrolled in PECOS as THWE HTAY.Based on the most recent information from CMS, provider Thwe T Htay 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 ID1245326529Provider TypeIndividualFull NameHtay, Thwe TCredentialMD, FACPGenderFemaleSole ProprietorNoEnumeration Date10/5/2006Last Updated8/24/2021Contact InformationPractice LocationPractice Address4801 Alberta Ave, El Paso, TX 79905-2707Phone(915) 215-5200Fax(915) 215-8640Mailing LocationMailing Address440 Raynolds St # 51015, El Paso, TX 79905-1613Phone(915) 215-4480Fax(915) 215-5386Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseL1074TexasProvider IdentifiersIDDescriptionIssuerID042920105DescriptionMedicaidIssuerUnlistedTexasIDP00395594DescriptionOtherIssuerMEDICARE RRTexas