Individual ProviderMarvin SanchezPodiatristPodiatric Medicine & Surgery Service ProvidersPractice Address19432 Davis Street, Lytle, TX 78052(830) 709-9960(210) 849-4457PECOS EnrollmentBased on the most recent information from CMS, provider Marvin Sanchez is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:57 PM.Profile DetailsProvider ID1407931397Provider TypeIndividualFull NameSanchez, MarvinTitleDr.CredentialD.P.M.GenderMaleSole ProprietorNoEnumeration Date10/26/2006Last Updated2/14/2008Contact InformationPractice LocationPractice Address19432 Davis Street, Lytle, TX 78052Phone(830) 709-9960Fax(210) 949-0960Mailing LocationMailing AddressPO Box 40189, San Antonio, TX 78229-1189Phone(210) 849-4457Fax(210) 949-0960Provider TaxonomiesCodeDescriptionLicenseCode213ES0131XPrimaryDescriptionPodiatristPodiatric Medicine & Surgery Service ProvidersLicense1554TexasProvider IdentifiersIDDescriptionIssuerID148109501DescriptionMedicaidIssuerUnlistedTexas