Organization
ASCLEPIUS PAIN MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR RAKOVCHIK D.O. (DIRECTOR)
(214) 221-2582
Entity
Organization
Contact information
Practice address
7920 BELT LINE RD, 120, DALLAS, TX 75254-8145
(214) 221-2582
(214) 446-2323
Mailing address
PO BOX 836156, RICHARDSON, TX 75083-6156
(214) 974-8990
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
N4020
TX
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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