Individual ProviderMena BotrosInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6550 Fannin St Ste 1001, Houston, TX 77030-2740(513) 540-9154PECOS EnrollmentBased on the most recent information from CMS, provider Mena Botros 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 ID1558757104Provider TypeIndividualFull NameBotros, MenaTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/10/2015Last Updated4/11/2023Contact InformationPractice LocationPractice Address6550 Fannin St Ste 1001, Houston, TX 77030-2740Phone(513) 540-9154Fax(859) 545-4973Mailing LocationMailing Address6550 Fannin St Ste 1001, Houston, TX 77030-2740Phone(513) 540-9154FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RP1001XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseT7873TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense131331OhioCode207RC0200XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseT7873TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer