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Jason Kelly Demattia

Family Medicine

Allopathic & Osteopathic Physicians

506 Graham Dr, Suite 200, Tomball, TX 77375-3346

PECOS Enrollment

This provider is enrolled in PECOS as JASON DEMATTIA.

Based on the most recent information from CMS, provider Jason Kelly Demattia is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528013125
Provider Type
Individual
Full Name
Demattia, Jason Kelly
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/23/2006
Last Updated
10/2/2014

Contact Information

Practice Location

506 Graham Dr, Suite 200, Tomball, TX 77375-3346

(281) 255-3838

(281) 255-3788

Mailing Location

506 Graham Dr, Suite 200, Tomball, TX 77375-3346

(281) 255-3838

(281) 255-3788

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License M2306 Texas

Jason Kelly Demattia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ellison-Hodges, Chante Monique

Huynh, Hung C

Tomball Primary Care Pa

Elevate Community Health

G A Valdez & Associates Inc

Casagrande, Michael Gerard

Texas Family Medicine Center, Pa

Descant, Emanuel Paul

Schwarz, Alexandra

Karen A Harcourt, Do Pa