OrganizationRafael Espada Md PaThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address6560 Fannin St, Suite 1006, Houston, TX 77030(713) 790-4556PECOS EnrollmentBased on the most recent information from CMS, provider Rafael Espada Md Pa 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 ID1306954854Provider TypeOrganizationFull NameRafael Espada Md PaSubpartNoEnumeration Date8/25/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address6560 Fannin St, Suite 1006, Houston, TX 77030Phone(713) 790-4556Fax(713) 790-4035Mailing LocationMailing Address6560 Fannin St, Suite 1006, Houston, TX 77030Phone(713) 790-4556Fax(713) 790-4035Authorized OfficialNameBaglia, Rose (Business Manager)Phone(713) 790-4556Provider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicenseE6339TexasProvider IdentifiersIDDescriptionIssuerID127779007/160278101DescriptionMedicaidIssuerUnlistedTexasID1172979DescriptionOtherIssuerMEDICAIDLouisiana