# INTEGRATIVE PHYSIATRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073923264
- **Authorized official:** IGOR RAKOVCHIK DO (DO)
- **Authorized official phone:** (972) 365-9842

## Contact information

- **Practice address:** 5814 SANDSHELL COURT, DALLAS, TX 75252
- **Practice address phone:** (972) 365-9843
- **Mailing address:** 5814 SANDSHELL COURT, DALLAS, TX 75252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | N4020 | TX | Yes |

## Other

- **Enumeration date:** 04/28/2014
- **Last updated:** 02/09/2022