Angela Davey Hasan | Tyler, TX • PECOS Search

Angela Davey Hasan

Licensed Vocational Nurse

Nursing Service Providers

427 E 5th St, Tyler, TX 75701-4302

PECOS Enrollment

Based on the most recent information from CMS, provider Angela Davey Hasan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1043777550
Provider Type
Individual
Full Name
Hasan, Angela Davey
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
2/21/2019
Last Updated
2/21/2019

Contact Information

Practice Location

427 E 5th St, Tyler, TX 75701-4302

Unlisted Fax

Mailing Location

427 E 5th St, Tyler, TX 75701-4302

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164X00000X Primary	Description Licensed Vocational Nurse Nursing Service Providers	License 229957 Texas