Individual ProviderVictoria CarreraFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 S Main St, Family Practice Residency Program, Fort Worth, TX 76104-4917(361) 648-2589PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Carrera 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 3 days ago.Profile DetailsProvider ID1245597335Provider TypeIndividualFull NameCarrera, VictoriaTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date4/13/2012Last Updated4/14/2023Contact InformationPractice LocationPractice Address1500 S Main St, Family Practice Residency Program, Fort Worth, TX 76104-4917Phone(361) 648-2589FaxUnlisted FaxMailing LocationMailing Address3602 E Rio Grande St, Victoria, TX 77901-7484Phone(361) 648-2589FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseQ1368TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseQ1368Texas