Individual ProviderDewei RenThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address6550 Fannin St, Suite1401, Houston, TX 77030-2717(713) 441-9515PECOS EnrollmentBased on the most recent information from CMS, provider Dewei Ren 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 ID1891022414Provider TypeIndividualFull NameRen, DeweiCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date11/4/2009Last Updated3/12/2019Contact InformationPractice LocationPractice Address6550 Fannin St, Suite1401, Houston, TX 77030-2717Phone(713) 441-9515FaxUnlisted FaxMailing LocationMailing Address6550 Fannin St, Suite1401, Houston, TX 77030-2717Phone(713) 441-9515FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicense45431TexasCode208G00000XDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicense66894GeorgiaCode208G00000XDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicense42768TexasCode208G00000XDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicenseMD60223695WashingtonCode208G00000XDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicense45019TexasProvider IdentifiersIDDescriptionIssuerID8663LLDescriptionOtherIssuerBCBSTexasID309054001DescriptionMedicaidIssuerUnlistedTexasID1891022414DescriptionOtherIssuerBLUE CROSS BLUE SHIELDTexasID309054003DescriptionMedicaidIssuerUnlistedTexas