Look up the most recent NPI and PECOS records

Andres Morgado Perez

Family Medicine

Allopathic & Osteopathic Physicians

1325 Pennsylvania Ave Ste 750, Fort Worth, TX 76104-2168

PECOS Enrollment

Based on the most recent information from CMS, provider Andres Morgado Perez is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1558732321
Provider Type
Individual
Full Name
Morgado Perez, Andres
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/19/2015
Last Updated
9/21/2020

Contact Information

Practice Location

1325 Pennsylvania Ave Ste 750, Fort Worth, TX 76104-2168

(817) 250-1494

Unlisted Fax

Mailing Location

PO Box 3409, Pflugerville, TX 78691-3409

(513) 252-7792

(513) 904-5908

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License S6693 Texas
Code 246ZC0007X	Description Specialist/Technologist, Other Technologists, Technicians & Other Technical Service Providers	License 12-239 Florida
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Andres Morgado Perez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Naseer, Shazli

Brantly, Kent Philip

Bullock, Dana Jill

Tran, Margaret

Diaz De Leon, Sarah Elizabeth

Riddell, Zhanna

Tran, Kim Thuy

Lowe, Eddie

Carter, Elizabeth Wagner

Tee, Cheow Meng