Figueroa, Ivan

Figueroa, Ivan is an individual health care provider with primary practice located at 14902 Preston Rd Ste 404-1051, Dallas TX 75254-6801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Figueroa, Ivan can be contacted via phone (214) 699-9221.

Contact Information

Primary practice address
14902 Preston Rd Ste 404-1051 Dallas TX 75254-6801
Phone: (214) 699-9221
Fax: (972) 559-1871
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M6614 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X M6614 Texas

Profile Details

NPI number 1851595359
LBN Legal business name Figueroa, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Oct 2nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851595359 NPPES
Other BP10017722 INSTITUTIONAL PERMIT

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