Individual ProviderMichael Van LinStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th St # Ms 8182, Lubbock, TX 79430-0002(806) 743-3381PECOS EnrollmentBased on the most recent information from CMS, provider Michael Van Lin 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 ID1104563519Provider TypeIndividualFull NameLin, Michael VanCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/17/2022Last Updated5/17/2022Contact InformationPractice LocationPractice Address3601 4th St # Ms 8182, Lubbock, TX 79430-0002Phone(806) 743-3381FaxUnlisted FaxMailing LocationMailing Address3601 4th St # Ms 8182, Lubbock, TX 79430-0002PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer