Provider Demographics
NPI:1700192127
Name:EPS HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:EPS HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.O.N
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:OBY
Authorized Official - Last Name:LISINGE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-868-8123
Mailing Address - Street 1:40350 BUSINESS 290
Mailing Address - Street 2:
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484-9367
Mailing Address - Country:US
Mailing Address - Phone:936-463-4846
Mailing Address - Fax:936-463-4847
Practice Address - Street 1:40350 BUSINESS 290
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-9367
Practice Address - Country:US
Practice Address - Phone:936-463-4846
Practice Address - Fax:936-463-4847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013948251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-7727Medicare PIN