Individual ProviderThomas Gregory WyattStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th St Rm 3a122b, Lubbock, TX 79430(806) 743-3720PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Gregory Wyatt 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 ID1659725125Provider TypeIndividualFull NameWyatt, Thomas GregoryCredentialDOGenderMaleSole ProprietorNoEnumeration Date4/20/2016Last Updated6/12/2018Contact InformationPractice LocationPractice Address3601 4th St Rm 3a122b, Lubbock, TX 79430Phone(806) 743-3720FaxUnlisted FaxMailing LocationMailing Address3601 4th St Rm 3a122b, Lubbock, TX 79430-0002Phone(806) 743-3720FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer