Organization
INTEGRATIVE PHYSIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR RAKOVCHIK DO (DO)
(972) 365-9842
Entity
Organization
Contact information
Practice address
5814 SANDSHELL COURT, DALLAS, TX 75252
(972) 365-9843
Mailing address
5814 SANDSHELL COURT, DALLAS, TX 75252
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N4020
TX
Other
Enumeration date
04/28/2014
Last updated
02/09/2022
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