Individual ProviderCathy CarpenterLicensed Vocational NurseNursing Service ProvidersPractice Address1510 S Vine Ave, Tyler, TX 75701-2826(800) 805-6989(903) 941-0860PECOS EnrollmentBased on the most recent information from CMS, provider Cathy Carpenter 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 ID1902569833Provider TypeIndividualFull NameCarpenter, CathyCredentialLVNGenderFemaleSole ProprietorNoEnumeration Date10/18/2021Last Updated10/18/2021Contact InformationPractice LocationPractice Address1510 S Vine Ave, Tyler, TX 75701-2826Phone(800) 805-6989FaxUnlisted FaxMailing LocationMailing Address15390 County Road 1151, Tyler, TX 75704-4625Phone(903) 941-0860FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense201862Texas