Provider Demographics
NPI:1588275721
Name:ESSENTIAL HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ESSENTIAL HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NNEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:OPARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-734-3846
Mailing Address - Street 1:116 TURKS CAP TRL
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-4625
Mailing Address - Country:US
Mailing Address - Phone:469-734-3846
Mailing Address - Fax:
Practice Address - Street 1:116 TURKS CAP TRL
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-4625
Practice Address - Country:US
Practice Address - Phone:469-734-3846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty