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Individual

DR. IGOR RAKOVCHIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5814 SANDSHELL CT, DALLAS, TX 75252-5401
(972) 365-9843
Mailing address
5814 SANDSHELL CT, DALLAS, TX 75252-5401
(972) 365-9842
(972) 692-8124

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N4020
TX
2081P0004X
Spinal Cord Injury Medicine Physician
N4020
TX
2084N0600X
Clinical Neurophysiology Physician
N4020
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N4020
STATE LICENSE
TX
Enumeration date
07/10/2008
Last updated
11/11/2021
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