Look up the most recent NPI and PECOS records

Anthony L. Estrera

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

6410 Fannin St, 450, Houston, TX 77030-3000

PECOS Enrollment

This provider is enrolled in PECOS as ANTHONY ESTRERA.

Based on the most recent information from CMS, provider Anthony L. Estrera 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
1811915457
Provider Type
Individual
Full Name
Estrera, Anthony L.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/18/2006
Last Updated
10/31/2023

Contact Information

Practice Location

6410 Fannin St, 450, Houston, TX 77030-3000

(713) 500-5304

Unlisted Fax

Mailing Location

PO Box 201088, Houston, TX 77216-1088

(713) 500-3500

(713) 500-0647

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License K6963 Texas
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License K6963 Texas

Provider Identifiers

ID	Description	Issuer
ID 037256701	Description Medicaid	Issuer Unlisted Texas
ID 8A4321	Description Other	Issuer BCBS Texas

Anthony L. Estrera

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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