Individual ProviderTony EissaInternal MedicineAllopathic & Osteopathic PhysiciansPractice AddressOne Baylor Plaza, Baylor College Of Medicine Bcm285, Houston, TX 77030(713) 798-3657PECOS EnrollmentBased on the most recent information from CMS, provider Tony Eissa 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 8:41 AM.Profile DetailsProvider ID1912277161Provider TypeIndividualFull NameEissa, TonyTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date1/5/2012Last Updated1/5/2012Contact InformationPractice LocationPractice AddressOne Baylor Plaza, Baylor College Of Medicine Bcm285, Houston, TX 77030Phone(713) 798-3657FaxUnlisted FaxMailing LocationMailing AddressOne Baylor Plaza, Baylor College Of Medicine Bcm285, Houston, TX 77030Phone(713) 798-3657FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RP1001XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseK8132Texas