Fontenot, Heather Michelle

Fontenot, Heather Michelle is an sole proprietor health care provider with primary practice located at 7900 Fm 1826 Bldg 2 Suite 206, Austin TX 78737-1407. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is her primary health care specialty. Fontenot, Heather Michelle can be contacted via phone (512) 288-8200.

Contact Information

Primary practice address
7900 Fm 1826 Bldg 2 Suite 206 Austin TX 78737-1407
Phone: (512) 288-8200
Fax: (521) 288-8207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 107080 Texas
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X SA00401 Texas
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X SA00401 Texas

Profile Details

NPI number 1336328657
LBN Legal business name Fontenot, Heather Michelle
Credentials LSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2007
Last updated May 24th, 2016 - about 10 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 1336328657 NPPES
Texas Other SA00401 LSA IDENTIFICATION NUMBER

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