Cynthia Aline Martin | Tyler, TX • PECOS Search

Cynthia Aline Martin

Licensed Vocational Nurse

Nursing Service Providers

755 S Beckham Ave, Tyler, TX 75701-1903

PECOS Enrollment

Based on the most recent information from CMS, provider Cynthia Aline Martin 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 yesterday at 2:50 PM.

Profile Details

Provider ID
1205422805
Provider Type
Individual
Full Name
Martin, Cynthia Aline
Credential
LVN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/17/2020
Last Updated
12/17/2020

Contact Information

Practice Location

755 S Beckham Ave, Tyler, TX 75701-1903

Unlisted Fax

Mailing Location

755 S Beckham Ave, Tyler, TX 75701-1903

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164X00000X Primary	Description Licensed Vocational Nurse Nursing Service Providers	License 348874 Texas