Individual ProviderKathleen TyeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address605 Holderrieth Blvd, Tomball, TX 77375-6445(281) 401-7988PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Tye 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 2 days ago.Profile DetailsProvider ID1710051735Provider TypeIndividualFull NameTye, KathleenTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date11/20/2006Last Updated5/7/2008Contact InformationPractice LocationPractice Address605 Holderrieth Blvd, Tomball, TX 77375-6445Phone(281) 401-7988Fax(281) 401-7883Mailing LocationMailing Address19503 Sapphire Cir, Magnolia, TX 77355-1835PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseJ6782TexasCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseJ6782TexasProvider IdentifiersIDDescriptionIssuerID115602809DescriptionMedicaidIssuerUnlistedTexasID8AP268DescriptionOtherIssuerBCBSTexas