Maria Claudia Medina | Tyler, TX • PECOS Search

Maria Claudia Medina

Licensed Vocational Nurse

Nursing Service Providers

2307 Smuts Dr, Tyler, TX 75701-2442

PECOS Enrollment

Based on the most recent information from CMS, provider Maria Claudia Medina 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
1629544077
Provider Type
Individual
Full Name
Medina, Maria Claudia
Credential
LVN

Gender
Female
Sole Proprietor
No
Enumeration Date
10/23/2018
Last Updated
10/23/2018

Contact Information

Practice Location

2307 Smuts Dr, Tyler, TX 75701-2442

Unlisted Fax

Mailing Location

2307 Smuts Dr, Tyler, TX 75701-2442

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164X00000X Primary	Description Licensed Vocational Nurse Nursing Service Providers	License 316089 Texas