Individual ProviderOri WaldThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address6620 Main St Ste 1325, Houston, TX 77030-2332(713) 798-6376(832) 570-6456PECOS EnrollmentBased on the most recent information from CMS, provider Ori Wald 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 ID1518339126Provider TypeIndividualFull NameWald, OriTitleDr.CredentialM.D PH.DGenderMaleSole ProprietorYesEnumeration Date10/22/2015Last Updated10/22/2015Contact InformationPractice LocationPractice Address6620 Main St Ste 1325, Houston, TX 77030-2332Phone(713) 798-6376FaxUnlisted FaxMailing LocationMailing Address6607 Kelvin Dr, Houston, TX 77030-1925Phone(832) 570-6456FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicense81968