Wiatrek, Rebecca Lynn

Wiatrek, Rebecca Lynn is an individual health care provider with primary practice located at 12201 Renfert Way Suite 240, Austin TX 78758-5354. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Wiatrek, Rebecca Lynn can be contacted via phone (512) 498-4850.

Contact Information

Primary practice address
12201 Renfert Way Suite 240 Austin TX 78758-5354
Phone: (512) 498-4850
Fax: (512) 491-8387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X M7757 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X M7757 Texas

Profile Details

NPI number 1164685160
LBN Legal business name Wiatrek, Rebecca Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated May 9th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164685160 NPPES
Texas MEDICAID 302090105
Texas MEDICAID 302090106
Texas Other P01626912

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