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Matthew Minoru Taitano

Internal Medicine

Allopathic & Osteopathic Physicians

6550 Fannin St # Sm1001, Houston, TX 77030-2717

PECOS Enrollment

This provider is enrolled in PECOS as MATTHEW TAITANO.

Based on the most recent information from CMS, provider Matthew Minoru Taitano 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 5 days ago.

Profile Details

Provider ID
1720584436
Provider Type
Individual
Full Name
Taitano, Matthew Minoru
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
4/2/2018
Last Updated
10/3/2024

Contact Information

Practice Location

6550 Fannin St # Sm1001, Houston, TX 77030-2717

(713) 441-5114

(713) 790-3023

Mailing Location

6550 Fannin St # Sm1001, Houston, TX 77030-2717

(713) 441-5114

(713) 790-3023

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License U9370 Texas

Matthew Minoru Taitano

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Santacruz, Jose Fernando

Goodarzi, Ahmad

Sasieta, Humberto Carlos

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Lee, Jared J

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