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Candice Martin Demattia

Family Medicine

Allopathic & Osteopathic Physicians

155 School St # 300, Tomball, TX 77375-5288

PECOS Enrollment

This provider is enrolled in PECOS as CANDICE DEMATTIA.

Based on the most recent information from CMS, provider Candice Martin 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
1669427670
Provider Type
Individual
Full Name
Demattia, Candice Martin
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/24/2006
Last Updated
3/20/2023

Contact Information

Practice Location

155 School St # 300, Tomball, TX 77375-5288

(281) 255-3838

(281) 255-3788

Mailing Location

PO Box 392929 Suite 200, Pittsburgh, PA 15251-0001

(713) 461-2915

(281) 255-3788

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License M2305 Texas

Provider Identifiers

ID	Description	Issuer
ID 8G4046	Description Other	Issuer MEDICARE ID TYPE Texas

Candice Martin Demattia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Feray, Cotton Daniel

Rolon, Sam Edwin

Descant, Emanuel Paul

Liang, Irena

Jordan, Maria Luisa

Whiteley, Michael Joe

Karen A Harcourt, Do Pa

Martin, Earl E

Michael G Casagrande Md Pa

G A Valdez & Associates Inc