Provider Demographics
NPI:1811508013
Name:GORECKI, HEATHER
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:GORECKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3318 PARAMOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3352
Mailing Address - Country:US
Mailing Address - Phone:806-930-5947
Mailing Address - Fax:
Practice Address - Street 1:3318 PARAMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3352
Practice Address - Country:US
Practice Address - Phone:806-930-5947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health