Provider Demographics
NPI:1922727262
Name:ESSENCE-E HEALTHCARE SERVICES PLLC
Entity Type:Organization
Organization Name:ESSENCE-E HEALTHCARE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LISINGE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:832-868-8123
Mailing Address - Street 1:PO BOX 1521
Mailing Address - Street 2:
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484-1521
Mailing Address - Country:US
Mailing Address - Phone:832-868-8123
Mailing Address - Fax:
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:346-328-9291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service