Individual ProviderEdward HickeyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address6651 Main St, Houston, TX 77030-2351(832) 824-1000(832) 826-2030PECOS EnrollmentBased on the most recent information from CMS, provider Edward Hickey 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 ID1336797729Provider TypeIndividualFull NameHickey, EdwardCredentialMDGenderMaleSole ProprietorNoEnumeration Date8/28/2019Last Updated11/14/2022Contact InformationPractice LocationPractice Address6651 Main St, Houston, TX 77030-2351Phone(832) 824-1000FaxUnlisted FaxMailing LocationMailing Address6651 Main St Fl 21, Houston, TX 77030-2351Phone(832) 826-2030FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicense47796TexasCode208G00000XDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicense46872Texas