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NPI Code Detail

MEDICARE: ESHNA, INC.

MEDICARE: ESHNA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center008210TX

General Provider Information

NPI Number : 1386774933
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESHNA, INC.
Provider Business Mailing Address
First Line : PO BOX 1629
Second Line :
City : WHITNEY
State : TX
Zip : 76692-1629
Country : US
Telephone Number : 254-694-4428
Fax Number : 254-694-0280
Provider Business Practice Location Address
First Line : 200 N SAN JACINTO ST
Second Line :
City : WHITNEY
State : TX
Zip : 76692-2388
Country : US
Telephone Number : 254-694-4428
Fax Number : 254-694-0280
Authorized Official
Title or Position : ADMINISTRATOR
Name : DR. AMAN ALI SHAH
Credential : M.D.
Telephone Number : 254-694-4428
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/30/2007

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Directions to “ESHNA, INC. ” Practice Location

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