Individual ProviderArturo MenchacaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1102 Barclay St, San Antonio, TX 78207-7161(210) 233-7000PECOS EnrollmentBased on the most recent information from CMS, provider Arturo Menchaca is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1548578321Provider TypeIndividualFull NameMenchaca, ArturoCredentialNP-CGenderMaleSole ProprietorNoEnumeration Date9/15/2010Last Updated5/18/2020Contact InformationPractice LocationPractice Address1102 Barclay St, San Antonio, TX 78207-7161Phone(210) 233-7000FaxUnlisted FaxMailing LocationMailing Address3066 E Commerce St, San Antonio, TX 78220-1013Phone(210) 233-7000Fax(210) 271-9845Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP119237TexasProvider IdentifiersIDDescriptionIssuerID2185845-02DescriptionOtherIssuerWELLMED MEDICAIDTexasID322835YLPSDescriptionOtherIssuerWELLMED MEDICARETexas