Organization
ESHNA INC.
Active
Other names
Lake Whitney Physicians Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA J HALL (CLINIC MANAGER)
(254) 694-2221
Entity
Organization
Contact information
Practice address
202 E JEFFERSON AVE, WHITNEY, TX 76692-2398
(254) 694-2221
(254) 694-9978
Mailing address
202 E JEFFERSON AVE, WHITNEY, TX 76692-2398
(254) 694-2221
(254) 694-9978
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084JF
BCBS
TX
01
—
00925U
BCBS TX
TX
05
—
092434201
—
TX
05
—
092434202
—
TX
Enumeration date
12/11/2006
Last updated
10/01/2012
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