Uresti-Bacak, Heather Renae

Uresti-Bacak, Heather Renae is an individual health care provider with primary practice located at 4206 Retama Cir , Victoria TX 77901-2765. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Uresti-Bacak, Heather Renae can be contacted via phone (361) 582-0611.

Contact Information

Primary practice address
4206 Retama Cir Victoria TX 77901-2765
Phone: (361) 582-0611
Fax: (361) 582-4978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2062240 Texas

Profile Details

NPI number 1790942811
LBN Legal business name Uresti-Bacak, Heather Renae
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Jul 15th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790942811 NPPES
Texas MEDICAID 164704201

Popular Providers