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Jason Kelly Demattia

Family Medicine

Allopathic & Osteopathic Physicians

425 Holderrieth Blvd Ste 114, Tomball, TX 77375-5189

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
9/4/2024

Contact Information

Practice Location

425 Holderrieth Blvd Ste 114, Tomball, TX 77375-5189

(281) 475-7599

(833) 973-3832

Mailing Location

425 Holderrieth Blvd Ste 114, Tomball, TX 77375-5189

(281) 475-7599

(833) 973-3832

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

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Huynh, Hung C

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Caring Professional Aco Group

Schroeder, Kimberley Ann

Tomball Regional Medical Center Provider Network

Liang, Irena

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Brock, Sonya L

Wanner, Elizabeth J