Individual ProviderMayra LeyvaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th St, Lubbock, TX 79430-0002(806) 743-1000PECOS EnrollmentBased on the most recent information from CMS, provider Mayra Leyva 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 4 days ago.Profile DetailsProvider ID1033968078Provider TypeIndividualFull NameLeyva, MayraCredentialMDGenderFemaleSole ProprietorYesEnumeration Date5/13/2024Last Updated5/13/2024Contact InformationPractice LocationPractice Address3601 4th St, Lubbock, TX 79430-0002Phone(806) 743-1000FaxUnlisted FaxMailing LocationMailing Address3601 4th St, Lubbock, TX 79430-0002Phone(806) 743-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer