1033390265 NPI number — JOHN R ESTERS M.D.

Table of content: JOHN R ESTERS M.D. (NPI 1033390265)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033390265 NPI number — JOHN R ESTERS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESTERS
Provider First Name:
JOHN
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033390265
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2207 S CLEAR CREEK RD
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
KILLEEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76549-4132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-519-2020
Provider Business Mailing Address Fax Number:
254-519-3937

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 W CENTRAL TEXAS EXPY STE 150
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARKER HEIGHTS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76548-1994
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-519-2023
Provider Business Practice Location Address Fax Number:
254-519-3937
Provider Enumeration Date:
11/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  H5308 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00K38E . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: B66065 . This is a "UPIN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 149532701 . This is a "OPTICAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 137827510 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 91882 . This is a "SCOTT & WHITE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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