Individual ProviderOlivia HernandezLicensed Vocational NurseNursing Service ProvidersPractice Address1510 S Vine Ave, Tyler, TX 75701-2826(903) 526-4055PECOS EnrollmentBased on the most recent information from CMS, provider Olivia Hernandez 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 ID1790303378Provider TypeIndividualFull NameHernandez, OliviaGenderFemaleSole ProprietorNoEnumeration Date7/9/2020Last Updated7/9/2020Contact InformationPractice LocationPractice Address1510 S Vine Ave, Tyler, TX 75701-2826Phone(903) 526-4055FaxUnlisted FaxMailing LocationMailing Address1510 S Vine Ave, Tyler, TX 75701-2826PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense327400Texas