Individual ProviderTarek DammadInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6550 Fannin St Ste 1001, Houston, TX 77030-2740(713) 441-7779PECOS EnrollmentBased on the most recent information from CMS, provider Tarek Dammad 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 yesterday at 8:41 AM.Profile DetailsProvider ID1457555641Provider TypeIndividualFull NameDammad, TarekTitleDr.CredentialM.DGenderMaleSole ProprietorNoEnumeration Date6/12/2007Last Updated3/2/2023Contact InformationPractice LocationPractice Address6550 Fannin St Ste 1001, Houston, TX 77030-2740Phone(713) 441-7779Fax(713) 441-1949Mailing LocationMailing Address6550 Fannin St Ste 1001, Houston, TX 77030-2740Phone(713) 441-7779Fax(713) 441-1949Provider TaxonomiesCodeDescriptionLicenseCode207RP1001XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseT5862TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense41660KentuckyCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD2011-0218New MexicoCode207RC0200XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense41660KentuckyCode207RC0200XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME141657FloridaProvider IdentifiersIDDescriptionIssuerID7100065990DescriptionMedicaidIssuerUnlistedKentuckyID103613300DescriptionMedicaidIssuerUnlistedFloridaID200928700ADescriptionMedicaidIssuerUnlistedIndiana