Individual ProviderTanuntorn SongdechakraiwutThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address6770 Bertner Ave, Texas Heart Institute, C-330, Houston, TX 77030-2604(510) 734-9769(832) 355-9936PECOS EnrollmentBased on the most recent information from CMS, provider Tanuntorn Songdechakraiwut does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902247547Provider TypeIndividualFull NameSongdechakraiwut, TanuntornCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/11/2013Last Updated7/16/2013Contact InformationPractice LocationPractice Address6770 Bertner Ave, Texas Heart Institute, C-330, Houston, TX 77030-2604Phone(510) 734-9769FaxUnlisted FaxMailing LocationMailing Address1 Baylor Plz, Thi/Bcm Thoracic Residency Program, Bcm 390, Houston, TX 77030-3411Phone(832) 355-9936Fax(832) 355-9948Provider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicense575182Texas