Provider Demographics
NPI:1427240217
Name:ES TRAN INC
Entity type:Organization
Organization Name:ES TRAN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER /PRINCIPAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-473-5700
Mailing Address - Street 1:2129 RED BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77506
Mailing Address - Country:US
Mailing Address - Phone:281-557-8596
Mailing Address - Fax:228-155-7872
Practice Address - Street 1:2502 CENTER ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-4904
Practice Address - Country:US
Practice Address - Phone:281-884-8123
Practice Address - Fax:281-884-8157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25610333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145558Medicaid
TX145836Medicaid