Individual
IVAN FIGUEROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14902 PRESTON RD, STE 404-1051, DALLAS, TX 75254-6801
(214) 699-9221
(972) 559-1871
Mailing address
PO BOX 3581, COPPELL, TX 75019-9581
(214) 699-9221
(972) 559-1871
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M6614
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
M6614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10017722
INSTITUTIONAL PERMIT
—
Enumeration date
06/11/2007
Last updated
10/02/2013
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