Individual ProviderMaria GasqueStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressTexas Tech University Hsc Department Of Pediatrics, 3601 4th Street Stop 9406, Lubbock, TX 79430(806) 743-7660PECOS EnrollmentBased on the most recent information from CMS, provider Maria Gasque 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 4 days ago.Profile DetailsProvider ID1609513290Provider TypeIndividualFull NameGasque, MariaCredentialDOGenderFemaleSole ProprietorNoEnumeration Date5/16/2022Last Updated5/16/2022Contact InformationPractice LocationPractice AddressTexas Tech University Hsc Department Of Pediatrics, 3601 4th Street Stop 9406, Lubbock, TX 79430Phone(806) 743-7660FaxUnlisted FaxMailing LocationMailing AddressTexas Tech University Hsc Department Of Pediatrics, 3601 4th Street Stop 9406, Lubbock, TX 79430Phone(806) 743-7660FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10080287TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer