Individual ProviderDorian Denise MillerLicensed Vocational NurseNursing Service ProvidersPractice Address1510 S Vine Ave, Tyler, TX 75701-2826(800) 805-6989PECOS EnrollmentBased on the most recent information from CMS, provider Dorian Denise Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:46 AM.Profile DetailsProvider ID1710574496Provider TypeIndividualFull NameMiller, Dorian DeniseCredentialLVNGenderFemaleSole ProprietorNoEnumeration Date12/28/2020Last Updated1/3/2021Contact InformationPractice LocationPractice Address1510 S Vine Ave, Tyler, TX 75701-2826Phone(800) 805-6989FaxUnlisted FaxMailing LocationMailing Address1510 S Vine Ave, Tyler, TX 75701-2826PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense316341Texas