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NPI Code Detail

MEDICARE: E & S MANAGEMENT LLC

MEDICARE: E & S MANAGEMENT LLC
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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1689151581
Entity Type Code : Organization
Provider Name (Legal Business Name) : E & S MANAGEMENT LLC
Provider Business Mailing Address
First Line : 3008 DAWN DR STE 105
Second Line :
City : GEORGETOWN
State : TX
Zip : 78628-2822
Country : US
Telephone Number : 210-774-5398
Fax Number : 561-828-8367
Provider Business Practice Location Address
First Line : 3008 DAWN DR STE 105
Second Line :
City : GEORGETOWN
State : TX
Zip : 78628-2822
Country : US
Telephone Number : 561-275-2020
Fax Number : 561-828-8367
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : JACKIE BENNETT
Credential :
Telephone Number : 561-433-6009
Provider Enumeration Date : 07/24/2018
Last Update Date : 02/17/2021

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Directions to “E & S MANAGEMENT LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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