Individual ProviderBayan AbdallahPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(214) 456-2014PECOS EnrollmentBased on the most recent information from CMS, provider Bayan Abdallah 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 10:37 AM.Profile DetailsProvider ID1790137628Provider TypeIndividualFull NameAbdallah, BayanCredentialM.DGenderFemaleSole ProprietorYesEnumeration Date7/3/2016Last Updated9/6/2022Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-2014Fax(214) 456-6233Mailing LocationMailing Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-2014FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense4301506119MichiganCode2080P0214XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseBP10066094Texas