Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE EVERETT BACKEN, RVT
Active Sole Proprietor2471V0105X · SAN ANTONIO, TX
Registration Details
- NPI Number
- 1356932024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2021 (5.2365004474926 yrs)
- Last Updated
- Jan 26, 2021
- License
-
193402 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 W LYNWOOD AVE APT 2SAN ANTONIO, TX, 782122239Browse TX providers · Browse ZIP 78212
- Phone
- 5416802858
- Primary Specialty
-
2471V0105X
2471V0105X
Other 2471V0105X Providers in SAN ANTONIO, TX
| Name | Credential | NPI |
|---|---|---|
| MR. WES JENNINGS | — | 1689733495 |
| MR. MICAH JOHNSON | RVT | 1013530310 |
| TOMAS PATTERSON | RVT | 1922771666 |
| ALEXARAO CAMERO | RVT | 1720751217 |
| JEANNIE ORTIZ | RVT | 1215601448 |
| RAQUEL MORALES | RVT | 1306512272 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.