Individual ProviderLatonya Michelle BrooksLicensed Vocational NurseNursing Service ProvidersPractice Address755 S Beckham Ave, Tyler, TX 75701-1903(903) 534-4684PECOS EnrollmentBased on the most recent information from CMS, provider Latonya Michelle Brooks 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 ID1912407644Provider TypeIndividualFull NameBrooks, Latonya MichelleGenderFemaleSole ProprietorYesEnumeration Date2/19/2018Last Updated2/19/2018Contact InformationPractice LocationPractice Address755 S Beckham Ave, Tyler, TX 75701-1903Phone(903) 534-4684FaxUnlisted FaxMailing LocationMailing Address755 S Beckham Ave, Tyler, TX 75701-1903Phone(903) 534-4684Fax(903) 534-4726Provider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense313157Texas