Provider Demographics
NPI:1922262005
Name:MESTA, ESTHER (LVN)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:MESTA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:MORENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:819 WATER ST
Mailing Address - Street 2:300
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5333
Mailing Address - Country:US
Mailing Address - Phone:830-258-5430
Mailing Address - Fax:830-792-5771
Practice Address - Street 1:410 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-4468
Practice Address - Country:US
Practice Address - Phone:830-774-1334
Practice Address - Fax:830-774-2333
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111816164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111816OtherLVN LICENSE