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Octavio Enrique Pajaro

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as OCTAVIO PAJARO.

Based on the most recent information from CMS, provider Octavio Enrique Pajaro 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
1629065677
Provider Type
Individual
Full Name
Pajaro, Octavio Enrique
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/4/2005
Last Updated
5/16/2024

Contact Information

Practice Location

1101 Bates Ave, Houston, TX 77030-2607

(713) 798-1300

Unlisted Fax

Mailing Location

1101 Bates Ave, Houston, TX 77030-2607

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License 48312 Texas
Code 208G00000X	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License 42551 Minnesota
Code 208G00000X	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License ME78124 Florida
Code 208G00000X	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License 43721 Arizona
Code 208G00000X	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License 47905 Texas

Octavio Enrique Pajaro

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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License

Code

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Code

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