Look up the most recent NPI and PECOS records

Ernest Prince

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

903 W Martin St, San Antonio, TX 78207-0903

PECOS Enrollment

Based on the most recent information from CMS, provider Ernest Prince is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1902164023
Provider Type
Individual
Full Name
Prince, Ernest
Gender
Male

Sole Proprietor
No
Enumeration Date
4/26/2012
Last Updated
2/10/2021

Contact Information

Practice Location

903 W Martin St, San Antonio, TX 78207-0903

(210) 358-8255

(210) 702-4207

Mailing Location

PO Box 734812, Dallas, TX 75373-4812

(210) 358-8255

(210) 702-4207

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP122042 Texas
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 661542 Texas

Ernest Prince

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Jackson, Megan D

Porter, Vanessa Roy

Menchaca, Arturo

Holley, Tina Dawn

Deutschendorf, Danielle Julia

Mangum, Susan Patricia

Denver, Stacey Dale

Rivera, Eileen Corbin

Salinas, Leslie Marie

Bui, Ti An