Individual ProviderAnnette WellsLicensed Vocational NurseNursing Service ProvidersPractice Address755 S Beckham Ave, Tyler, TX 75701-1903(903) 534-4684(903) 285-1246PECOS EnrollmentBased on the most recent information from CMS, provider Annette Wells 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 ID1720588452Provider TypeIndividualFull NameWells, AnnetteGenderFemaleSole ProprietorNoEnumeration Date2/19/2018Last Updated2/19/2018Contact InformationPractice LocationPractice Address755 S Beckham Ave, Tyler, TX 75701-1903Phone(903) 534-4684FaxUnlisted FaxMailing LocationMailing AddressPO Box 57, Naples, TX 75568-0057Phone(903) 285-1246FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense145691Texas