Healthcare Provider Details

I. General information

NPI: 1790879542
Provider Name (Legal Business Name): ESHNA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 04/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 W. WASHINGTON AVE.
WHITNEY TX
76692-2120
US

IV. Provider business mailing address

PO BOX 458
WHITNEY TX
76692-0458
US

V. Phone/Fax

Practice location:
  • Phone: 254-694-6626
  • Fax: 254-694-6391
Mailing address:
  • Phone: 254-694-6626
  • Fax: 254-694-6391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009332
License Number StateTX

VIII. Authorized Official

Name: MR. JOE D WHITE
Title or Position: BUSINESS MANAGER
Credential:
Phone: 254-697-6591