Healthcare Provider Details

I. General information

NPI: 1912048398
Provider Name (Legal Business Name): ESPERANZA HEALTH SYSTEMS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 11/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 LA HACIENDA WAY
HUNT TX
78024
US

IV. Provider business mailing address

PO BOX 1
HUNT TX
78024-0001
US

V. Phone/Fax

Practice location:
  • Phone: 830-238-4222
  • Fax:
Mailing address:
  • Phone: 830-238-4222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number122-A
License Number StateTX

VIII. Authorized Official

Name: MS. LISA SCHRECKENBACH
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 830-238-4222